2004 Senate Bill 1150 ↩

House Roll Call 1128: Passed

To cap an HMO enrollee's coinsurance for basic health services and copayments for inpatient hospital services at 50% of the HMO's contracted reimbursement rate to an affiliated health care provider. Also, to limit an enrollee's annual aggregate out-of-pocket costs for coinsurance and copayments to $5,000 for an individual and $10,000 for a family. Also, to establish that an HMO participating in a government health program would not have to offer benefits or services in excess of the program's requirements. The bill has the effect of giving HMOs more flexibility in designing health care packages.