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2024 Session

Budget Amendments - SB30 (Member Request)

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Chief Patron: Sturtevant
Denials of Rereferral by Out-of-network Providers

Item 479 #4s

Item 479 #4s

First Year - FY2025 Second Year - FY2026
Independent Agencies
State Corporation Commission FY2025 $50,000 FY2026 $50,000 GF

Language
Page 526, line 47, strike "$408,828,801" and insert "$408,878,801".
Page 526, line 47, strike "$475,891,452" and insert "$475,941,452".


Explanation

(This amendment provides $50,000 each year from the general fund for the potential costs of pending legislation that prohibits a health insurance carrier from: (i) denying payment for any health care service covered under an enrollee's health benefit plan based solely on the basis that such enrollee's referral was made by a direct primary care provider; or (ii) imposing a cost-sharing requirement greater than the applicable cost-sharing requirement that would apply to the same health care service if the service was referred by a participating provider.)