Legislative Session number- 81

Bill Name: SF3156

E Providing for certain patient protections; requiring the commissioner of
commerce to divide a certain percentage of civil or administrative penalties
imposed on health carriers or health maintenance organizations (HMO) among
policy or certificate holders affected by the violation, exception; expanding
expenditure data requirements for health care cost containment purposes;
modifying certain health plan company continuity of care requirements,
specifying certain limits and expanding disclosure requirements; modifying
certain requirements for access to specialty care, requiring mandatory standing
referrals under certain conditions and eliminating certain services and
secondary referral restrictions on specialists providing primary care services
to enrollees, defining specialist; requiring health plan companies to provide
medically necessary health care to enrollees participating in medical clinical
trials; clarifying the definition of mental health professional under the adult
and children mental health acts; requiring the commissioner of health in
consultation with the health care professional and provider organizations to
develop and submit to the legislature by a certain date a plan for the
collection of data on the quality of patient care provided in hospitals,
outpatient surgical centers and medical clinics, specifying certain
consideration requirements (mk, ja)