ACCESS TO DERMATOLOGISTS
Synopsis of Bill as introduced:
Creates the Patient Access to Treatment Act. Provides that
managed care entities may not deny or limit reimbursement to a member
for dermatological services on the grounds that the member was not
referred to the provider by a person acting on behalf of the managed
care entity. Prohibits unreasonable cost-sharing arrangements.
Requires terms and conditions of coverage to be disclosed in a
readable and understandable format consistent with standards developed
for supplemental insurance coverage under the federal Social Security
Act. Effective immediately.
HOUSE AMENDMENT NO. 1.
Removes entities licensed under the Limited Health Service
Organization Act, Dental Service Plan Act, Pharmaceutical Service Plan
Act, or Vision Service Plan Act from the scope of the term "managed
Last action on Bill: SESSION SINE DIE
Last action date: 99-01-12
Amendments to Bill: AMENDMENTS ADOPTED: HOUSE - 1 SENATE - 0
END OF INQUIRY
Full Text Bill Status