Specifies certain restrictive covenants in employment agreements between physicians & hospitals do not support legitimate business interest; authorizes party to employment agreement to elect to have mutually agreed upon arbitrator make specified binding determination.
Authorizing the governing body of an independent hospital district to evaluate certain benefits of the potential conversion of the independent hospital district to a nonprofit entity under certain circumstances; requiring that the evaluation be completed and the final report be presented to the governing body within a specified timeframe; requiring the governing body to negotiate and complete an agreement with the board of county commissioners for each affected county before converting the independent hospital district to a nonprofit entity; prohibiting members of the board of county commissioners for counties party to such agreements from [...]
Provides requirements for conversion of independent hospital district to nonprofit entity; requires independent entity to evaluate such conversion; requires evaluation be completed & presented to district within specified timeframe; provides for negotiation of agreement between each affected county & district; provides requirements for agreement; requires certain disclosures; requires referendum under certain circumstances; requires district to file copy of agreement with & provide certain notification to DEO within specified timeframe.
Authorizes qualified physicians to perform patient examinations & evaluations through telehealth for renewals of physician certifications for medical use of marijuana.
Revising the definition of the term "shoppable health care service" to include certain items and services specified in federal regulation, etc.
Revises entities conducting pharmacy audits to which certain requirements & restrictions apply; authorizes audited pharmacies to appeal certain findings; provides that health insurers & HMOs that transfer certain payment obligation to pharmacy benefit managers remain responsible for specified violations; provides penalty for failure to register as pharmacy benefit managers.
Prohibiting health maintenance organizations from excluding coverage for certain cancer treatment drugs; prohibiting insurers and health maintenance organizations from excluding coverage for certain drugs on certain grounds; specifying a requirement for the prior authorization form adopted by the Financial Services Commission by rule; specifying requirements for, and restrictions on, health insurers and pharmacy benefits managers relating to prior authorization information, requirements, restrictions, and changes, etc.
Revises definition of term "shoppable health care service" to include certain items & services specified in federal regulation beginning with 2023 plan year.
Prohibits health insurers & HMOs from requiring, before providing prescription drug coverage for treatment of stage 4 metastatic cancer & associated conditions, that treatment have failed with different drug; prohibits insurers & HMOs from excluding coverage for certain drugs on certain grounds; prohibits insurers & HMOs from requiring home infusion for certain cancer treatment drugs or that certain cancer treatment drugs be sent to certain entities for home infusion unless certain condition is met; specifies requirement for prior authorization form; specifies requirements for, & restrictions on, health insurers & pharmacy benefits managers relating to [...]
Requiring, rather than authorizing, that the reimbursement method for provider service networks be on a prepaid basis; deleting a requirement that the Agency for Health Care Administration provide the opportunity for public feedback on a certain waiver application; revising requirements relating to the databook published by the agency consisting of Medicaid utilization and spending data; deleting procedures for plan procurements when no provider service networks submit bids; providing that cancer hospitals meeting certain criteria are statewide essential providers, etc.
