Current Status Bill Number:3117 Type of Legislation:General Bill GB Introducing Body:House Introduced Date:19970114 Primary Sponsor:J. Brown All Sponsors:J. Brown Drafted Document Number:bbm\9024ac.97 Residing Body:House Current Committee:Labor, Commerce and Industry Committee 26 HLCI Subject:Health insurance, nothing to limit insurer or third party payor from determining scope of benefits, contracts, medical
Body Date Action Description Com Leg Involved
______ ________ _______________________________________ _______ ____________
House 19970114 Introduced, read first time, 26 HLCI
referred to Committee
House 19970108 Prefiled, referred to Committee 26 HLCI
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TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING SECTION 38-71-268 SO AS TO PROVIDE THAT NOTHING IN TITLE 38 MAY LIMIT AN INSURER OR OTHER THIRD PARTY PAYOR FROM DETERMINING THE SCOPE OF ITS BENEFITS AND OTHER TERMS OF ITS CONTRACTS WITH PROVIDERS EXCEPT THAT THE CONTRACT PROVIDING COVERAGE TO AN INSURED MAY NOT EXCLUDE THE RIGHT OF ASSIGNMENT OF BENEFITS TO A PROVIDER AT THE SAME BENEFIT RATE AS PAID TO A CONTRACT PROVIDER.
Be it enacted by the General Assembly of the State of South Carolina:
SECTION 1. The 1976 Code is amended by adding:
"Section 38-71-268. Nothing in this title may be construed to limit an insurer, health maintenance organization, preferred provider organization, health care service corporation, or other third party payor from determining the scope of its benefits or services or any other terms of its group or individual insured, or both, subscriber or enrollee contracts nor from negotiating contracts with licensed providers on reimbursement rates or any other lawful provisions, except that the contract providing coverage to an insured may not exclude the right of assignment of benefits to a provider at the same benefit rate as paid to a contract provider."
SECTION 2. This act takes effect July 1, 1997.