HB 2059 - DIGEST

     Requires each carrier to:

     (1) Include all primary care providers who are selected by covered persons of the plan for the provision of health care provided by the plan that falls within the statutory scope of practice of the respective primary provider;

     (2) Permit any licensed provider who meets the plans credentialing standards and agrees to abide by the terms, conditions, reimbursement rates, and standards of quality of the health plan to serve as a participating primary provider to any person covered by the plan;

     (3) Guarantee that all covered persons who are eligible for benefits under a health benefit plan shall have direct access to the primary provider of their choice independent of, and without referral from, any other provider or entity;

     (4) Not discriminate between individual providers or classes of providers in the amount of reimbursement, copayment, or other financial compensation for the same or essentially similar services provided by the health benefit plan; and

     (5) Not promote or recommend any individual provider or class of providers to a covered person by any method or means.