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A00726 Summary:

SPONSORGottfried (MS)
COSPNSRDinowitz, Englebright, Galef, John, Paulin, Cusick, Pheffer, Kavanagh, Alessi, Fields
MLTSPNSRAubry, Brennan, Colton, Cook, Cymbrowitz, Glick, Gunther, Heastie, Hooper, Jacobs, Kellner, Lifton, Mayersohn, McEneny, Perry, Rivera J, Rivera P, Robinson, Scarborough, Sweeney, Towns,
Amd S4406-c, Pub Health L; amd SS3217-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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