SB 507: Preferred provider applications
Currently, health insurers are not required to approve or deny a provider's application to become a "credentialed provider" within a designated period of time or reimburse the provider for services provided during the credentialing period. This bill requires health insurers to approve or deny a provider's application to become a credentialed provider within 90 days of receipt. Health insurers must pay providers for claims during the 90-day "credentialing period" at least at the nonparticipating provider rates, with certain exceptions. This bill applies to requests to enter into medical service contracts submitted by a provider on or after the effective date. The bill declares an emergency and became effective upon passage.
SB 508: Insurer/provider payment reconciliation
Requires health insurers to request a refund from health care providers within 24 months of the date of payment, with certain exceptions, and to allow six months for payment of a refund. The bill also requires providers to request an additional payment for a claim from insurers within 24 months after the date the claim was denied, with certain exceptions, and to allow insurers six months to make the additional payment.
SB 679: Healthy lifestyles dividends
Authorizes insurers to pay cash rewards (dividends) to members who participate in approved programs to promote healthy behaviors.
SB 862: Community-based health care initiatives
Improves access to health care for those without insurance by establishing a limited number of community-based health care programs that are exempt from the Insurance Code. The bill declares an emergency and became effective June 23, 2009.