2003-2004 Bill 3007: Medical and dental insurance contract or policy may not exclude right of assignment of benefits to nonparticipating provider at same rate as to participating provider

South Carolina General Assembly
115th Session, 2003-2004

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H. 3007

STATUS INFORMATION

General Bill
Sponsors: Rep. J. Brown
Document Path: l:\council\bills\bbm\9283zw03.doc
Companion/Similar bill(s): 3024

Introduced in the House on January 14, 2003
Currently residing in the House Committee on Labor, Commerce and Industry

Summary: Medical and dental insurance contract or policy may not exclude right of assignment of benefits to nonparticipating provider at same rate as to participating provider

HISTORY OF LEGISLATIVE ACTIONS

     Date      Body   Action Description with journal page number
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   12/4/2002  House   Prefiled
   12/4/2002  House   Referred to Committee on Labor, Commerce and Industry
   1/14/2003  House   Introduced and read first time HJ-13
   1/14/2003  House   Referred to Committee on Labor, Commerce and Industry 
                        HJ-13

View the latest legislative information at the LPITS web site

VERSIONS OF THIS BILL

12/4/2002

(Text matches printed bills. Document has been reformatted to meet World Wide Web specifications.)

A BILL

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. Article 1, Chapter 71, Title 38 of 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 or 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, 2003.

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This web page was last updated on Monday, December 7, 2009 at 10:23 A.M.