This Amendment to House Bill No.

Plain English Breakdown

The effective date is missing from all provided official materials, so it cannot be confirmed when changes take effect.

Amendment Removing Payment Rules for Physician Associates

This amendment deletes a rule in House Bill No. 325 that required insurance companies to pay the same amount for services provided by physician associates as they would for physicians.

What This Bill Does

• Removes the requirement that payment must be made when a service is ordered or performed by a physician associate if it matches what a physician could do.
• Deletes the rule stating that payment amounts should depend on the service provided rather than who delivered the care.
• Removes the word 'existing' from references to state laws or regulations used for billing standards.

Who It Names or Affects

• Physician associates providing medical services
• Insurance companies that pay for health care services

Limits and Unknowns

• The official text does not state an effective date.
• The reason for removing the payment rule is not explained in the provided material.

Official Summary Text

This Amendment to House Bill No. 325 removes the provision that required "Payment for services within the physician associate’s scope of practice must be made when ordered or performed by the physician associate, if the same service would have been covered if ordered or performed by a physician. Payment for services must be based on the services provided and not on the health care professional who delivered the service."
It also removes the adjective "existing" from "physician associate state law or regulation” with respect to standards that insurers and third parties may impose with respect to physician associate billing.

Current Bill Text

Legislation Document

SPONSOR:

Rep. Berry

HOUSE OF REPRESENTATIVES

153rd GENERAL ASSEMBLY

HOUSE AMENDMENT NO. 1

TO

HOUSE BILL NO. 325

AMEND House Bill No. 325 on line 221 by deleting “

Payment for services within the physician associate’s scope of practice must be made when ordered or

” as it appears therein.

FURTHER AMEND House Bill No. 325 by deleting lines 222 through 223 in their entirety.

FURTHER AMEND House Bill No. 325 on line 224 by deleting “

service.

” as it appears therein.

FURTHER AMEND House Bill No. 325 on line 230 by deleting “

existing

” as it appears therein.

SYNOPSIS

This Amendment to House Bill No. 325 removes the provision that required "Payment for services within the physician associate’s scope of practice must be made when ordered or performed by the physician associate, if the same service would have been covered if ordered or performed by a physician. Payment for services must be based on the services provided and not on the health care professional who delivered the service."

It also removes the adjective "existing" from "physician associate state law or regulation” with respect to standards that insurers and third parties may impose with respect to physician associate billing.