Opening Up Health Care Networks
December 9, 2020 02:28 PM to All House Members
Circulated By
Representative Anthony DeLuca
D House District 32
Memo
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 602.
I invite you to join me as a cosponsor of this bill.
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 602.
I invite you to join me as a cosponsor of this bill.
Legislation
Document - Introduced as HB 173
Opening Up Health Care Networks
December 9, 2020 02:28 PM to All House Members
Circulated By
DELUCA
Memo
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 602.
I invite you to join me as a cosponsor of this bill.
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 602.
I invite you to join me as a cosponsor of this bill.
Document
Introduced as HB 173
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