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02/20/2020 03:04 AM
Pennsylvania House of Representatives
https://www.legis.state.pa.us/cfdocs/Legis/CSM/showMemoPublic.cfm?chamber=H&SPick=20190&cosponId=27906
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House of Representatives
Session of 2019 - 2020 Regular Session

MEMORANDUM

Posted: January 23, 2019 10:21 AM
From: Representative Anthony M. DeLuca
To: All House members
Subject: Opening Up Health Care Networks
 
One of the biggest concerns people have in using insurance is that their doctor is “in network.” Confusion and frustration surround this process, which can be particularly problematic for older Pennsylvanians. We need to ensure that employers and our citizens who pay for health insurance are receiving the best value for their dollar through inclusive networks.

My legislation will provide that private practitioners and facilities remain “in network” if they are qualified and willing to accept the terms and conditions of the contract.

Pennsylvania currently does not have “Any Willing Provider” (AWP) legislation despite multiple attempts.

Under an AWP law, a health insurer may not exclude any provider in its geographic area who is willing to meet its conditions of participation. The definition of "insurer" includes insurance companies; health maintenance organizations, or HMOs; PPO’s, dental service corporations; and other entities.

Last session this was HB 345.

I invite you to join me as a cosponsor of this bill.



Introduced as HB602