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A02370 Summary:

SPONSORGottfried (MS)
COSPNSRDinowitz, Englebright, Galef, Paulin, Cusick, Rosenthal L, Titone, D'Urso
MLTSPNSRCarroll, Colton, Cook, Cymbrowitz, Glick, Gunther, Hooper, Lifton, Perry, Rivera
Amd §4406-c, Pub Health L; amd §§3217-b & 4325, Ins L
Relates to certain prohibitions in contracts or agreements by health maintenance organizations; prohibits clauses which entitle reimbursement at the lowest price or rate; prohibits contracts which restrict referral of patients based solely upon a health care provider's status with a managed care product; prohibits disclosure of an enrollee's diagnosis on a prescription as a condition for authorizing coverage for payment or dispensing of a prescription; and prohibits contracts which allow for the substitution of a pharmaceutical drug or agent by any person other than the prescribing health care professional.
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