South Carolina Legislature




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Session 122 - (2017-2018)Printer Friendly
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S 0400 General Bill, By Davis and Turner
Summary: SC Right to Shop for Health Care Act
    A BILL TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, TO ENACT THE "SOUTH CAROLINA RIGHT TO SHOP FOR HEALTH CARE ACT" BY ADDING ARTICLE 16 TO CHAPTER 71, TITLE 38 SO AS TO PROVIDE A CITATION; TO PROVIDE NECESSARY DEFINITIONS; TO PROVIDE THAT A HEALTH CARE PROVIDER MUST DISCLOSE THE ALLOWED AMOUNT OF A NONEMERGENCY ADMISSION, PROCEDURE, OR SERVICE WITHIN A CERTAIN TIME FRAME; TO REQUIRE AN INSURANCE CARRIER TO ESTABLISH ACCESS TO AN INTERACTIVE MECHANISM ON ITS PUBLICLY ACCESSIBLE WEBSITE TO ALLOW AN ENROLLEE TO OBTAIN CERTAIN INFORMATION; TO PROVIDE THAT A CARRIER MUST PROVIDE A GOOD FAITH ESTIMATE OF THE ALLOWED AMOUNT AND OUT-OF-POCKET COSTS OF A PROPOSED NONEMERGENCY PROCEDURE OR SERVICE UPON REQUEST; TO PROVIDE ALL HEALTH INSURANCE CARRIERS SHALL OFFER SHARED SAVINGS INCENTIVE PROGRAMS AS COMPONENTS OF ALL HEALTH INSURANCE PLANS, SUBJECT TO CERTAIN EXCEPTIONS, TO PROVIDE RELATED REQUIREMENTS CONCERNING THE ESTABLISHMENT OF THESE PROGRAMS, AND THE OFFERING OF INCENTIVES TO HEALTH PLAN ENROLLEES CONCERNING CERTAIN COVERED SHOPPABLE HEALTH CARE SERVICES; TO PROVIDE SHARED SAVINGS INCENTIVE PAYMENTS ARE NOT ADMINISTRATIVE EXPENSES OF THE CARRIER WHO PAID THEM FOR RATE DEVELOPMENT OR RATE FILING PURPOSES; TO PROVIDE WAIVERS FROM THE REQUIREMENTS OF THIS ACT; TO REQUIRE CARRIERS TO ANNUALLY FILE REPORTS OF CERTAIN RELATED INFORMATION TO THE DEPARTMENT; AND TO PROVIDE THE DEPARTMENT MAY ADOPT RULES TO CARRY OUT THE PROVISIONS OF THIS ACT.
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02/14/17Senate Introduced and read first time (Senate Journal-page 6)
02/14/17Senate Referred to Committee on Banking and Insurance (Senate Journal-page 6)



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