Bill
Number: S.B. 1105
Carter
Floor Amendment
Reference
to: printed bill
Amendment
drafted by: Leg Council
FLOOR
AMENDMENT EXPLANATION
1. Expands the definition
of primary care provider, as it relates to direct primary care
agreements, to include licensed dentists, physicians who treat patients for
chronic conditions and specified licensed physician assistants.
2. Specifies that primary
care services include:
a) diagnosing, treating and
managing acute and chronic conditions and other healthcare procedures on a
routine basis; and
b)
dental
services.
3. Requires that a written
notice of intent to terminate a direct primary care agreement be provided 30
days before termination.
4. Modifies disclosure
language that must be included with direct primary care agreement materials to
specify that a provider is prohibited from billing health insurance for
services provided under the agreement.
5. Prohibits a direct
primary care practice from charging different fees for comparable services
based on the health status or gender of a patient.
6. Permits a direct
primary care provider to discontinue care for a patient if the practice changes
the services or scope of practice provided to patients.
7. Makes technical and
conforming changes.
Page 2, line 18, after the second
quotation mark insert ":
(a)";
after "means" insert ":
(i)"
Line 19,
strike "or is board"
Line 20,
strike "certified"; strike the second comma;
after the second "or" insert "otherwise treats patients for chronic conditions requiring regular
treatment.
(ii) A
physician assistant who is licensed pursuant to title 32, chapter 25 and who
practices with a physician who specializes in family medicine, internal
medicine or pediatrics.
(iii)"
Line 23,
strike ", including" insert ".
(iv) A
dentist who is licensed pursuant to title 32, chapter 11 and who provides
dental services.
(b) Includes"
Line 25,
after "means" strike remainder of line
Line 26,
strike "primary care that are" insert "routine, periodic health care procedures that are"
Line 28,
strike "and other health care procedures"
insert ", diagnosing, treating and managing acute and
chronic conditions and other health care procedures provided to patients on a
routine, periodic basis"
Line 30,
after "procedure" insert ",
or dental services that may be performed or supervised by a dentist who is
licensed pursuant to title 32, chapter 11"
Line 40,
after "on" insert "a thirty‑day"
Line 41,
strike ", subject to conditions specified in the agreement"
Page 3, line
13, strike "the payment of" insert "paying"
Line 14,
after the period insert "If you have health insurance, it
may include, at no additional charge, some of the preventive services that are
also available under this direct primary care agreement. The primary care
provider may not bill your health insurance for primary care services provided
under this direct primary care agreement."
Line 18,
strike the first "to"
Line 19,
after the period insert "A direct primary care practice may
not charge different fees for comparable services based on a patient's health
status or gender."
Between
lines 33 and 34, insert:
"6. The direct primary care practice changes the services it
offers or the scope of practice that it provides to patients."
Line 37,
strike "unearned monies" insert ", payments prepaid for months following termination of the agreement"
Line 42,
after "medical" insert "or
dental"
Amend title to conform