Reference is to the bill as introduced.
Amend the bill, as and if amended, Section 38-71-1790(A)(5), as contained in SECTION 1, page 7, lines 17-27, by deleting the item in its entirety and inserting:
/
(54) A
point-of-service option or closed panel health plan
offered pursuant to this article may not
discriminate against a physician, a podiatrist, an optometrist,
an oral surgeon, a physical therapist, an occupational
therapist, or a chiropractor by excluding the provider from
participating in the plan on the basis of the profession. A
health care plan may not exclude these providers from providing
health care services which they are licensed to provide and
which are covered by the plan and as determined by medical
necessity under utilization review guidelines. Nothing in this
section interferes in any way with the medical decision of the
primary health care provider to use or not use any health care
professional on a case-by-case basis. /
Renumber sections to conform.
Amend title to conform.