S0257B1596A06915 NAD:JMT 04/24/18 #90 A06915
AMENDMENTS TO SENATE BILL NO. 257
Sponsor: SENATOR WARD
Printer's No. 1596
Amend Bill, page 2, line 5, by inserting after "vision"
care
Amend Bill, page 3, lines 10 and 11, by striking out "FOR
PURPOSES OF THIS ARTICLE, THE TERM INCLUDES VISION ONLY
INSURANCE COVERAGE."
Amend Bill, page 3, line 21, by striking out "AN"
Amend Bill, page 3, line 23, by striking out ", INCLUDING
VISION COVERAGE,"
Amend Bill, page 4, lines 13 and 14, by striking out
"artificial intraocular lenses, "
Amend Bill, page 4, lines 23 through 30, by striking out all
of said lines
Amend Bill, page 6, by inserting between lines 28 and 29
"Vision care." A provision of eye care services, materials
or both.
"Vision care provider." A licensed doctor of optometry
practicing under the authority of the act of June 6, 1980
(P.L.197, No.57), known as the Optometric Practice and Licensure
Act, or a licensed physician who has also completed a residency
in ophthalmology.
Amend Bill, page 6, lines 29 and 30, by striking out ", OTHER
THAN A VISION CARE PROVIDER, "
Amend Bill, page 7, line 1, by inserting after "CARE"
supplies
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Amend Bill, page 7, line 4, by inserting after "SUPPLIER"
selection
Amend Bill, page 7, lines 21 through 26, by striking out all
of said lines and inserting
A health insurance policy that has a discount program for
noncovered services shall permit an insured who receives vision
care from an in-network vision care provider to receive a
noncovered service from the in-network vision care provider at a
nondiscounted rate, provided that the vision care provider gives
to the insured, prior to receipt of the noncovered service,
written disclosure that the vision care provider does not
participate in the insured's discount program.
Amend Bill, page 8, lines 2 through 27, by striking out all
of said lines and inserting
(b) Insurance Commissioner power.--Upon satisfactory
evidence of a violation of this article by any insurer or other
person within the scope of the department's investigative and
enforcement authority under subsection (a), the Insurance
Commissioner may, in the Insurance Commissioner's discretion,
pursue any of the following actions:
(1) Suspend, revoke or refuse to renew the license of
the offending person.
(2) Enter a cease and desist order.
(3) Impose a civil penalty of not more than $5,000 for
each action in violation of this article.
(4) Impose a civil penalty of not more than $10,000 for
each action in willful violation of this article.
(c) Limitation.--Penalties imposed under this article shall
not exceed $500,000 in the aggregate during a calender year.
(d) Violations by optometrists and opthalmologists.--A
violation of this article by an optometrist shall constitute
unprofessional conduct under the act of June 6, 1980 (P.L.197,
No.57), known as the Optometric Practice and Licensure Act. A
violation of this article by an ophthalmologist shall constitute
unprofessional conduct under the act of December 20, 1985
(P.L.457, No.112), known as the Medical Practice Act of 1985, or
the act of October 5, 1978 (P.L.1109, No.261), known as the
Osteopathic Medical Practice Act.
Amend Bill, page 9, line 4, by inserting after "WITH"
the
Amend Bill, page 9, line 5, by striking out "INSURANCE
DEPARTMENT" and inserting
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department
Amend Bill, page 9, line 10, by striking out "INSURANCE
DEPARTMENT" and inserting
department
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