SB669 H HR AM 4-2
The Health and Human Resources Committee moves to amend the
bill on page two, section three, line ten, following the number
"2011" by striking out the remainder of the sentence and inserting
in lieu thereof a period;
On page four, section seven, line twenty, following the word
"months" by striking out the period and inserting in lieu thereof
a semi-colon, and the following subdivision to read as follows
:
"(iv) Notwithstanding the provisions of (i),(ii) or (iii) of
this subsection, a participating provider may offer a plan to an
individual if the individual is covered by a high deductible health
benefit plan or policy, and a participating provider may offer a
plan to an employer group if the employer group is covered by a high
deductible health benefit plan or policy. The participating
provider shall give the perspective individual or employer a notice
that indicates that the payment for the prepaid services may not
count towards a health benefit plan deductible and that credit
towards the deductible will depend on the health benefit policy or
certificate language. The Insurance Commissioner shall approve the
form of the notice to be used by the provider. For the purpose of
this section, "high deductible health benefit plan" means a health
benefit plan with a minimum individual annual deductible of $3,000
or, if applicable, a family annual deductible of $3,000. Any
employer who has converted its health benefit plan from a low
deductible plan to a high deductible health benefits plan may not
purchase a plan from a participating provider for six months from the date of conversion. Any individual who has converted his or her
health benefit policy from a low deductible health policy to a high
deductible plan may not purchase a plan from a participating
provider for three months from date of conversion.";
On page five, subsection (3), by striking out subsection (3)
in its entirety and inserting in lieu thereof a new subsection (3)
to read as follows:
"On or before July 1, 2009, the Health Care Authority and the
Insurance Commissioner shall propose a rule for legislative approval
in accordance with the provisions of article three, chapter twenty-
nine-a of this code, to permit participation by a subscriber or
employer with a comprehensive high deductible plan if the subscriber
or employer is able to demonstrate that the participation will not
negatively impact the coverage that is currently offered or will be
offered by the employer. The rule shall provide for notice to the
subscriber or employer that the payment for the prepaid services may
or may not count towards the health insurance deductible, the
determination of which will depend on the health insurance policy
language."