Limits the amount that a state employee health plan may pay for a medical facility service provided to a covered individual to: (1) the lesser of the amount of compensation established by the network plan or 200% of the amount paid by the Medicare program for that type of medical facility service or for a medical facility service of a similar type, if the medical facility service is provided by an in network provider; and (2) 185% of the amount paid by the Medicare program for that type of medical facility service or for a medical facility service of a similar type, if the medical facility service is provided by an out of network provider. Provides that a provider, after receiving payment from a state employee health plan for a medical facility service provided to a covered individual, is prohibited from charging the covered individual an additional amount, other than cost sharing amounts authorized by the terms of the state employee health plan. Provides that a determination of the state personnel department, a state employee health plan, or a firm providing administrative services to a state employee health plan that a medical facility service provided to a covered individual is of a type similar to a particular type of medical facility service covered by the Medicare program is conclusive. Requires a medical facility that provides drugs to a covered individual, in billing a state employee health plan for the cost of the drugs, to include in the billing the same "TB" or "JG" modifier that the medical facility would include in the billing if the medical facility were billing the Medicare program for the drugs.
Rep. Julie McGuire
Sponsored bills
A CONCURRENT RESOLUTION opposing assisted medical suicide.
A CONCURRENT RESOLUTION opposing assisted medical suicide.
Provides that in order for the child to be deemed a child in need of services (CHIN), the parent, guardian, or custodian must consent to the care, treatment, or rehabilitation for a child who substantially endangers the child's own health. Requires the juvenile court to release a child who substantially endangers the child's own health to the child's parent, guardian, or custodian unless: (1) the juvenile court also finds the child to be a CHIN for another reason; or (2) the parent, guardian, or custodian consents to removal of the child from the child's home. Prohibits the juvenile court from ordering that the child who substantially endangers the child's own health be removed from the child's home unless: (1) the juvenile court also finds the child to be a CHIN for another reason; or (2) the parent, guardian, or custodian consents to removal of the child from the child's home.
Provides that a student enrolled in a health profession education program may not be required to receive an immunization as a condition of: (1) participating in; or (2) obtaining; clinical training or clinical experience required by the program. Allows a student to bring a civil action against an entity for a violation of these provisions. Amends the definition of "documentation of exemption" for purposes of provisions governing immunization requirements at state educational institutions. Prohibits a state educational institution from requiring a student to provide specific information regarding the student's religious objection in a request for an exemption from immunization requirements.
Provides that if a court in a paternity or child custody proceeding does not award joint legal custody or joint physical custody of a child, the court shall enter findings of fact and conclusions of law citing a preponderance of evidence that awarding joint legal custody or joint physical custody is unreasonable and not in the best interest of the child. Provides for a court in a proceeding to modify custody to consider any substantial changes in the facts underlying a previous court decision not to award joint legal custody or joint physical custody. Provides that in allocating parenting time, there is a rebuttable presumption that it is in the best interests of the child for parenting time to be allocated equally or nearly equally between the child's custodial parent and the child's noncustodial parent. Provides that a finding by the court that a history of child abuse or neglect exists with respect to the child is sufficient to rebut the presumption.
Specifies that the arrest and criminal immunity provisions of the lifeline law also apply to a person less than 21 years of age who commits an offense involving the possession of a controlled substance, paraphernalia, or a syringe.
Defines terms and amends the education and criminal laws related to material that is obscene or harmful to minors.
Allows a juvenile court to extend the time to complete a factfinding hearing for a child in need of services (CHINS) petition under certain conditions. Prohibits a juvenile court from granting a continuance in a termination of parent-child relationship (TPR) proceeding unless the motion is filed by a proper person and is accompanied by certain evidence.
Defines "crisis day". Provides that the governing body of a school corporation shall authorize the absence and excuse of each student for not more than three crisis days per school year under certain conditions. Provides that a student excused from school attendance for a crisis day may not be recorded as being absent and may not be penalized.