House Bill 1518

AN ACT TO BE KNOWN AS THE MISSISSIPPI ACCESS TO HEALTH CARE AND PATIENT CHOICE ACT; TO AMEND SECTIONS 41-7-173, 41-7-185, 41-7-187, 41-7-189, 41-7-190, 41-7-191, 41-7-193, 41-7-197, 41-7-201, 41-7-202 AND 41-7-207, MISSISSIPPI CODE OF 1972, TO REVISE THE HEALTH CARE CERTIFICATE OF NEED LAW TO REMOVE HEALTH CARE SERVICES AND EQUIPMENT FROM THE REQUIREMENT FOR THE ISSUANCE OF A CERTIFICATE OF NEED, SO THAT ONLY CERTAIN HEALTH CARE FACILITIES WILL REQUIRE CERTIFICATE OF NEED REVIEW; TO REMOVE END-STAGE RENAL DISEASE FACILITIES AND AMBULATORY SURGICAL FACILITIES FROM THE REQUIREMENT FOR A CERTIFICATE OF NEED; TO AMEND SECTIONS 41-73-5, 41-75-1, 41-75-5, 41-75-9 AND 41-75-25, MISSISSIPPI CODE OF 1972, TO CONFORM TO THE PRECEDING PROVISIONS; TO CREATE NEW SECTION 83-41-221, MISSISSIPPI CODE OF 1972, TO PROVIDE THAT AN INSURED IS ENTITLED TO BENEFITS UNDER A HEALTH BENEFIT PLAN IF THE HEALTH BENEFIT PLAN PROVIDES FOR REIMBURSEMENT FOR THE SERVICE IF PERFORMED BY A DULY LICENSED PHYSICIAN OR PODIATRIST AND THE SERVICE IS PERFORMED BY A DULY LICENSED PHYSICIAN OR PODIATRIST; TO CREATE NEW SECTION 83-41-223, MISSISSIPPI CODE OF 1972, TO PROVIDE THAT A HEALTH BENEFIT PLAN SHALL NOT DISCRIMINATE AGAINST ANY PHYSICIAN WHO IS LOCATED WITHIN THE GEOGRAPHIC COVERAGE AREA OF THE HEALTH BENEFIT PLAN AND WHO IS WILLING TO MEET THE TERMS AND CONDITIONS FOR PARTICIPATION ESTABLISHED BY THE HEALTH BENEFIT PLAN; TO CREATE NEW SECTION 83-41-225, MISSISSIPPI CODE OF 1972, TO PROVIDE THAT NOTHING IN THIS ARTICLE SHALL BE CONSTRUED TO REQUIRE OR PROHIBIT THE SAME REIMBURSEMENT TO DIFFERENT TYPES OF PHYSICIANS WHOSE LICENSED SCOPE OF SPECIALTY PRACTICE DIFFERS; TO PROVIDE THAT NOTHING IN THIS ARTICLE SHALL BE CONSTRUED TO REQUIRE OR PROHIBIT COVERAGE OF THE SERVICES OF ANY PARTICULAR TYPE OF PROVIDER; TO CREATE NEW SECTION 83-41-227, MISSISSIPPI CODE OF 1972, TO PROVIDE THAT A HEALTH BENEFIT PLAN SHALL NOT, DIRECTLY OR INDIRECTLY, PROHIBIT OR LIMIT A PHYSICIAN THAT IS QUALIFIED UNDER THIS ARTICLE AND IS WILLING TO ACCEPT THE HEALTH BENEFIT PLAN'S OPERATING TERMS AND CONDITIONS, SCHEDULE OF FEES, COVERED EXPENSES AND UTILIZATION REGULATIONS AND QUALITY STANDARDS, FROM THE OPPORTUNITY TO PARTICIPATE IN THAT PLAN; TO PROVIDE THAT NOTHING IN THIS ARTICLE SHALL PREVENT A HEALTH BENEFIT PLAN FROM INSTITUTING MEASURES DESIGNED TO MAINTAIN QUALITY AND TO CONTROL COSTS, INCLUDING, BUT NOT LIMITED TO, THE UTILIZATION OF A GATEKEEPER SYSTEM, AS LONG AS SUCH MEASURES ARE IMPOSED EQUALLY ON ALL PROVIDERS IN THE SAME CLASS; TO CREATE NEW SECTION 83-41-229, MISSISSIPPI CODE OF 1972, TO CLARIFY HOW THE ARTICLE SHOULD BE CONSTRUED; TO CREATE NEW SECTION 83-41-231, MISSISSIPPI CODE OF 1972, TO CLARIFY THE COMMISSIONER OF INSURANCE'S POWERS AND DUTIES REGARDING ARTICLE 5, CHAPTER 41, TITLE 83; TO AMEND SECTIONS 83-41-203, 83-41-211, 83-41-213 AND 83-41-215, MISSISSIPPI CODE OF 1972, TO REVISE CERTAIN EXISTING LAWS PROVIDING FOR CHOICE OF PRACTITIONER; AND FOR RELATED PURPOSES.

In the House of Representatives

• Robert Foster

  Sponsor

l9n doesn't hold this bill's text yet.

In the House of Representatives Jan 15 – Jan 30

1. Jan 15Referred to the House committee on Public Health and Human Services
2. Jan 30Died in committee in the House