Current Status Introducing Body:
HouseBill Number: 4374Primary Sponsor: HouckCommittee Number: 26Type of Legislation: GBSubject: Health insurance policy, subscriber to choose providerResiding Body: HouseCurrent Committee: Labor, Commerce and IndustryComputer Document Number: GJK/20173JM.94Introduced Date: 19940111Last History Body: HouseLast History Date: 19940111Last History Type: Introduced, read first time, referred to CommitteeScope of Legislation: StatewideAll Sponsors: Houck Neilson Witherspoon Richardson Hines Rudnick Whipper Jennings Harwell Snow Kirsh D. Wilder Askins Keyserling Harrelson Corning Mattos Breeland Wilkins Elliott Mattos Stuart InabinettType of Legislation: General Bill
Bill Body Date Action Description CMN Leg Involved ____ ______ ____________ ______________________________ ___ ____________ 4374 House 19940111 Introduced, read first time, 26 referred to Committee 4374 House 19931208 Prefiled, referred to 26 CommitteeView additional legislative information at the LPITS web site.
TO PERMIT AN INSURED SUBSCRIBER UNDER AN INDIVIDUAL HEALTH INSURANCE POLICY TO CHOOSE HIS HEALTH CARE PROVIDER, REQUIRE THE COMPANY WRITING THE POLICY TO PAY FOR THE SERVICES EITHER BY DIRECT PAYMENT TO THE PROVIDER OR BY REIMBURSING THE SUBSCRIBER, AND PROVIDE THAT THIS ACT ALSO APPLIES TO HEALTH MAINTENANCE ORGANIZATIONS, IN WHICH CASE THE INSURED SHALL BE REQUIRED TO PAY THE DIFFERENCE IF THE COST OF THE SERVICES PROVIDED EXCEEDS THE LOWEST BIDDER.
Be it enacted by the General Assembly of the State of South Carolina:
SECTION 1. Notwithstanding any other provision of law, an insured subscriber under an individual health insurance policy in force in this State must be permitted to choose the health care provider, who must be in good standing with his or its respective licensing authority, for any services rendered to the insured, and the company writing the policy must pay for the services to the extent allowed or required by the insurance contract and by law, either by direct payment to the provider or by reimbursing the subscriber, as is applicable under the circumstances.
This section also applies to health maintenance organizations, and the insured in this situation shall be required to pay the difference if the cost of the services provided exceeds the lowest bidder.
SECTION 2. This act takes effect upon approval by the Governor.