Rep. Elaine Nekritz
Filed: 4/15/2016
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1 | AMENDMENT TO HOUSE BILL 5576
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2 | AMENDMENT NO. ______. Amend House Bill 5576, AS AMENDED, on | ||||||
3 | page 7, immediately below line 5, by inserting
the following: | ||||||
4 | " (d) If a plan or issuer utilizes a network of providers, | ||||||
5 | nothing in this Section shall be construed to require coverage | ||||||
6 | or to prohibit the plan or issuer from imposing cost-sharing | ||||||
7 | for items or services described in this Section that are | ||||||
8 | provided or delivered by an out-of-network provider, unless the | ||||||
9 | plan or issuer does not have in its network a provider who is | ||||||
10 | able to or is willing to provide the applicable items or | ||||||
11 | services. ".
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