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No events on calendar for this bill.
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Ch. SL 2021-30Senate | 2021-06-11Signed by Gov. 6/11/2021Senate | 2021-06-11Pres. To Gov. 6/4/2021Senate | 2021-06-04RatifiedSenate | 2021-06-03Ordered EnrolledHouse | 2021-06-02Passed 3rd ReadingHouse | 2021-06-02Passed 2nd ReadingHouse | 2021-06-02Added to CalendarHouse | 2021-06-02Cal Pursuant Rule 36(b)House | 2021-06-02Reptd FavHouse | 2021-06-02Re-ref Com On Rules, Calendar, and Operations of the HouseHouse | 2021-05-25Reptd FavHouse | 2021-05-25Re-ref to the Com on Health, if favorable, Rules, Calendar, and Operations of the HouseHouse | 2021-05-24Withdrawn From ComHouse | 2021-05-24Ref To Com On Rules, Calendar, and Operations of the HouseHouse | 2021-05-06Passed 1st ReadingHouse | 2021-05-06Regular Message Received From SenateHouse | 2021-05-05Regular Message Sent To HouseSenate | 2021-05-05Passed 3rd ReadingSenate | 2021-05-04Passed 2nd ReadingSenate | 2021-05-04Placed On Cal For 05/04/2021Senate | 2021-04-28Withdrawn From CalSenate | 2021-04-28Reptd FavSenate | 2021-04-27Re-ref Com On Rules and Operations of the SenateSenate | 2021-04-22Reptd FavSenate | 2021-04-22Re-ref Com On Commerce and InsuranceSenate | 2021-04-14Com Substitute AdoptedSenate | 2021-04-14Reptd Fav Com SubstituteSenate | 2021-04-14Re-ref to Health Care. If fav, re-ref to Commerce and Insurance. If fav, re-ref to Rules and Operations of the SenateSenate | 2021-03-25Withdrawn From ComSenate | 2021-03-25Ref To Com On Rules and Operations of the SenateSenate | 2021-03-15Passed 1st ReadingSenate | 2021-03-15FiledSenate | 2021-03-11
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DENTISTS & DENTISTRY
HEALTH SERVICES
ID SYSTEMS
INSURANCE
INSURANCE DEPT.
INSURANCE
HEALTH
OCCUPATIONS
PRESENTED
PUBLIC
RATIFIED
TITLE CHANGE
CHAPTERED
PATIENT RIGHTS
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135
58 (Chapters); 135-48.51
58-3-247 (Sections)
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No counties specifically cited.
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S248: Additional Info on Health Ins. Cards. Latest Version
Session: 2021 - 2022
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2021
SESSION LAW 2021-30
SENATE BILL 248
AN ACT to include additional information on health benefit plan IDENTIFICATION cards.
The General Assembly of North Carolina enacts:
SECTION 1.(a) G.S. 58‑3‑247(a) reads as rewritten:
(a) Every insurer offering a health benefit plan as defined under G.S. 58‑3‑167, including the State Health Plan, G.S. 58‑3‑167 shall provide the health benefit plan subscriber or members with an insurance identification card. The card shall contain at a minimum:contain, at a minimum, all of the following information:
…
(7) The policyholder's obligations with regard to co‑payments, copayments, if applicable, for at least all of the following:
a. Primary care office visit.
b. Specialty care office visit.
c. Urgent care visit.
d. Emergency room visit.
(8) The phone number or Web site website address whereby the subscriber, member, or service provider, in compliance with privacy rules under the Health Insurance Portability and Accountability Act may readily obtain the following:
a. Confirmation of eligibility.
b. Benefits verification in order to estimate patient financial responsibility.
c. Prior authorization for services and procedures.
d. The list of participating providers in the network.
e. The employer group number.
f. Special mental health medical benefits under the health plan, if applicable.
(9) An indication of whether the health benefit plan is a fully insured or self‑funded plan. Plans that are fully insured shall be noted by using the phrase fully insured to indicate to the consumer that the Department is able to provide assistance regarding the regulation of the plan.
SECTION 1.(b) G.S. 135‑48.51 reads as rewritten:
§ 135‑48.51. Coverage and operational mandates related to Chapter 58 of the General Statutes.
The following provisions of Chapter 58 of the General Statutes apply to the State Health Plan:
(1) G.S. 58‑3‑191, Managed care reporting and disclosure requirements.
(2) G.S. 58‑3‑221, Access to nonformulary and restricted access prescription drugs.
(3) G.S. 58‑3‑223, Managed care access to specialist care.
(4) G.S. 58‑3‑225, Prompt claim payments under health benefit plans.
(5) G.S. 58‑3‑235, Selection of specialist as primary care provider.
(6) G.S. 58‑3‑240, Direct access to pediatrician for minors.
(7) G.S. 58‑3‑245, Provider directories.
(7a) G.S. 58‑3‑247, Insurance identification card.
(8) G.S. 58‑3‑250, Payment obligations for covered services.
(9) G.S. 58‑3‑265, Prohibition on managed care provider incentives.
(10) G.S. 58‑3‑280, Coverage for the diagnosis and treatment of lymphedema.
(11) G.S. 58‑3‑285, Coverage for hearing aids.
(12) G.S. 58‑50‑30, Right to choose services of certain providers.
(13) G.S. 58‑67‑88, Continuity of care.
SECTION 2. This act becomes effective January 1, 2022, and applies to contracts entered into, amended, or renewed on or after that date.
In the General Assembly read three times and ratified this the 3rd day of June, 2021.
s/ Phil Berger
President Pro Tempore of the Senate
s/ Tim Moore
Speaker of the House of Representatives
s/ Roy Cooper
Governor
Approved 1:12 p.m. this 11th day of June, 2021