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UTAH STATE SENATE
UTAH STATE CAPITOL COMPLEX * 320 STATE CAPITOL

P.O. BOX 145115 * SALT LAKE CITY, UTAH 84114-5115 * (801) 538-1035

        March 1, 2013

Mr. President:

    The Natural Resources, Agriculture, and Environment Committee reports a favorable recommendation on S.B. 242, HEALTH INSURANCE MARKET AMENDMENTS, by Senator L. Hillyard, with the following amendments:

1.    Page 2, Lines 43 through 44 :    

             43      participation on an insurer's provider panel

  :

    (A)  
without first providing the physician with the due

             44      process protections required by this section
  ; or

    (B) in violation of Subsection (3)  
.


2.    Page 3, Lines 59 through 66 :    

             59          (3) (a)
{   A health insurer shall include a physician on its panel of providers for the

             60      insurer's health benefit plans if the physician meets educational, training, and experience
             61      requirements, and has demonstrated current competence.
             62          (b)   } A health insurer shall apply reasonable, nondiscriminatory standards for the
             63      evaluation of a physician's qualifications
{   under this Subsection (3)   }        for inclusion on an insurer's provider panel       . The decision to include a

             64      physician on an insurer's provider panel shall be based on an objective evaluation of the
             65      physician's qualifications,
  training, experience, and competency,       free of

anticompetitive intent or purpose.


             66          
{   (c)   }        (b)       A health insurer shall not consider any of the following with regard to determining


        Respectfully,

        Scott K. Jenkins
        Committee Chair

Voting: 4-2-1
3 SB0242.SC1.wpd lwells/JBA CJD/MDA 3/4/13 1:15 pm

Bill Number
Action Class
Action Code

*SB0242*
*S*
*SCRAMD*

 SB0242
S
SCRAMD