Requiring Provider to Provide Health Care Services

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Sec. 6. (a) Except as provided in subsection (b), a person may not require a provider, as a condition of entering into a health provider contract for the provision of health care services other than health care services to enrollees of a health maintenance organization, to provide health care services to enrollees of a health maintenance organization.

(b) A person may require a provider, as a condition of entering into a health provider contract for the provision of health care services other than health care services to enrollees of a health maintenance organization, to provide health care services to enrollees of a health maintenance organization:

(1) in an emergency; or

(2) upon referral.

(c) If a person requires a provider to provide health care services to enrollees of a health maintenance organization under subsection (b), the person:

(1) shall reimburse the provider at rates established under the health provider contract; and

(2) may not require the provider to comply with the terms and conditions of the health maintenance organization.

As added by P.L.197-2001, SEC.1.


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