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                                                       PRINTER'S NO. 839

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 748 Session of 2005


        INTRODUCED BY BEBKO-JONES, CALTAGIRONE, CAWLEY, DeWEESE,
           JOSEPHS, LEDERER, GRUCELA, GEORGE, READSHAW, THOMAS,
           YOUNGBLOOD, TANGRETTI, JAMES, PETRARCA, RUBLEY, GOOD,
           PISTELLA AND HARPER, MARCH 1, 2005

        REFERRED TO COMMITTEE ON INSURANCE, MARCH 1, 2005

                                     AN ACT

     1  Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An
     2     act relating to insurance; amending, revising, and
     3     consolidating the law providing for the incorporation of
     4     insurance companies, and the regulation, supervision, and
     5     protection of home and foreign insurance companies, Lloyds
     6     associations, reciprocal and inter-insurance exchanges, and
     7     fire insurance rating bureaus, and the regulation and
     8     supervision of insurance carried by such companies,
     9     associations, and exchanges, including insurance carried by
    10     the State Workmen's Insurance Fund; providing penalties; and
    11     repealing existing laws," providing for third-party
    12     reimbursement for services of registered nurse first
    13     assistants.

    14     The General Assembly of the Commonwealth of Pennsylvania
    15  hereby enacts as follows:
    16     Section 1.  The act of May 17, 1921 (P.L.682, No.284), known
    17  as The Insurance Company Law of 1921, is amended by adding a
    18  section to read:
    19     Section 635.2.  Third-party Reimbursement for Services of
    20  Registered Nurse First Assistants.--(a)  Every hospital, health
    21  or medical expense insurance policy, hospital or medical service
    22  contract, employe welfare benefit plan, health maintenance


     1  organization subscriber agreement, health and accident insurance
     2  policy or other insurance contract of this type, including a
     3  group insurance plan or self-insurance plan that provides
     4  medical and surgical benefits which are delivered, issued for
     5  delivery or renewed in this Commonwealth on or after January 1,
     6  2004, shall provide coverage of perioperative services rendered
     7  by a registered nurse first assistant. Payments for registered
     8  nurse first assistants for such services shall be subject to the
     9  same credentialing and contracting requirements that apply to
    10  other heath care providers paid for such services.
    11     (b)  As used in this section:
    12     (1)  "Perioperative services"  means preoperative,
    13  intraopertive and postoperative nursing care provided to
    14  surgical patients.
    15     (2)  "Registered nurse first assistant"  means a person who:
    16     (i)  is licensed as a registered nurse in accordance with the
    17  laws of this Commonwealth;
    18     (ii)  is experienced in perioperative services; and
    19     (iii)  has completed a national certification program of
    20  perioperative services.
    21     Section 2.  This act shall take effect in 60 days.






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