H 4460 Session 111 (1995-1996)
H 4460 General Bill, By J. Brown, A.W. Byrd, McMahand and D. Williams
A Bill to amend the Code of Laws of South Carolina, 1976, by adding Section
38-71-270 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.
01/18/96 House Introduced and read first time HJ-3
01/18/96 House Referred to Committee on Labor, Commerce and
Industry HJ-3
A BILL
TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA,
1976, BY ADDING SECTION 38-71-270 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 38-71-270. 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, 1996.
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