Bill Summary for H 471 (2019-2020)

Summary date: 

May 28 2020

Bill Information:

View NCGA Bill Details2019-2020 Session
House Bill 471 (Public) Filed Tuesday, March 26, 2019
AN ACT EXEMPTING MEDICAL DIRECT PRIMARY CARE FROM REGULATION BY THE DEPARTMENT OF INSURANCE.
Intro. by Hardister, White, Dobson, Adcock.

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Bill summary

Senate committee substitute deletes the content of the 1st edition and now provides the following.

Enacts GS 58-3-8 to expressly exclude medical direct primary care agreements from the scope of GS Chapter 58, Insurance. Defines medical direct primary care agreement to mean a contract between a primary care provider, as defined, and an individual patient or individual patient's legal representative in which the primary care provider agrees to provide primary care services, as defined, to the individual patient for a specified fee and specified period of time, without billing third parties or billing on a fee-for-service basis. Defines primary care provider to include an individual or other legal entity alone or with other professionally associated with the individual or other legal entity. Explicitly states that primary care providers and their agents are not required to be licensed or certified under GS Chapter 58 with regards to medical direct primary care agreements. Sets forth seven requirements of medical direct primary care agreements, including that the agreement be in writing, signed by the parties or their representatives, allow termination without notice by either party, specify the periodic fee and duration of the agreement, specify any automatic renewal periods, specify the primary care services included and covered, and prominently state that the agreement is not health insurance.

Changes the act's titles.

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