Bill Information

An Act providing for access by enrollees of managed care health benefits plans to health care services and for duties of the Bureau of Drug and Alcohol Programs; specifying certain standards relating to financial incentive programs of managed care plans; prohibiting managed care plans from restricting providers from disclosing appropriate health care information to enrollees; specifying certain standards of managed care plans relating to emergency services, termination of contracts and confidentiality; providing for grievance procedures, for appeals of denial of services, for conscience protection and for hearing aid coverage; requiring certain disclosures to enrollees of managed care plans and for prior approval of department for certain contractual language; providing for cost containment and loss ratios, for reimbursement for diabetic supplies, for medicaid pharmacy services, for workers' compensation services and for consumer information; extending the powers and duties of the Office of Consumer Advocate; making an appropriation; imposing penalties; and making repeals.