Budget Amendment ID: FY2012-S3-39

OTH 39

Cost-Effective Network Offerings

Mr. Pacheco moved that the proposed new text be amended by inserting, after SECTION __, the following new section:-

"SECTION __. Section 9A of chapter 176O of the General Laws, as created by Chapter 288 of the Acts of 2010, is hereby amended by striking out subsection (a), and replacing it with the following:-

(a) (i) limits the ability of the carrier to introduce or modify a select network plan or tiered network plan by granting the health care provider a guaranteed right of participation; (ii) requires the carrier to place all members of a provider group, whether local practice groups or facilities, in the same tier of a tiered network plan; or (iii) requires the carrier to include all members of a provider group, whether local practice groups or facilities, in a select network plan on an all-or-nothing basis; or"