Bill Summary for S 228 (2021-2022)

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Summary date: 

Apr 29 2021

Bill Information:

View NCGA Bill Details2021
Senate Bill 228 (Public) Filed Wednesday, March 10, 2021
AN ACT TO LOWER HEALTH CARE COSTS AND EXPAND ACCESS BY ALLOWING SMALL BUSINESSES TO OFFER EXCLUSIVE PROVIDER BENEFIT PLANS.
Intro. by Edwards, Krawiec, Burgin.

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Bill summary

Senate committee substitute makes the following changes to the 2nd edition.

Amends proposed GS 58-50-56.1 by adding the following. Requires each insurer to include a clear statement in any application and any benefit booklets for exclusive provider benefit plans that out-of-network coverage for insureds in the exclusive provider benefit plan only applies for emergency services and medically necessary covered services when an in-network provider is not reasonably available. Specifies that any provisions of GS Chapter 58 that apply to preferred provider benefit plans or preferred provider benefit organizations as of July 1, 2021, also apply to exclusive provider benefit plans or exclusive provider benefit organizations (this was previously uncodified in Section 2 of the act, which has now been deleted).