Report Title:

Health Insurers; Provider Participation; Nondiscrimination

Description:

Prohibits health insurers from discriminating against providers regarding participation in a health benefits plan.

THE SENATE

S.B. NO.

2374

TWENTY-SECOND LEGISLATURE, 2004

 

STATE OF HAWAII

 


 

A BILL FOR AN ACT

 

RELATING TO HEALTH INSURANCE.

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

SECTION 1. Chapter 431, Hawaii Revised Statutes, is amended by adding a new section to article 10A to be appropriately designated and to read as follows:

"431:10A-   Nondiscrimination against provider in geographic coverage area. A health insurer shall not discriminate against any provider that is located within the geographic coverage area of the health benefit plan and that is willing to meet the terms and conditions for participation established by the health insurer, including the state medicaid program and medicaid partnerships."

SECTION 2. Chapter 432, Hawaii Revised Statutes, is amended by adding a new section to article 1 to be appropriately designated and to read as follows:

"432:1-   Nondiscrimination against provider in geographic coverage area. A mutual benefit society shall not discriminate against any provider that is located within the geographic coverage area of the health benefit plan and that is willing to meet the terms and conditions for participation established by the mutual benefit society, including the state medicaid program and medicaid partnerships."

SECTION 3. Chapter 432D, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:

"432D-   Nondiscrimination against provider in geographic coverage area. A health maintenance organization shall not discriminate against any provider that is located within the geographic coverage area of the health benefit plan and that is willing to meet the terms and conditions for participation established by the health maintenance organization, including the state medicaid program and medicaid partnerships."

SECTION 4. New statutory material is underscored.

SECTION 5. This Act shall take effect upon its approval.

INTRODUCED BY:

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