This Amendment to House Bill No.

Plain English Breakdown

The official source does not provide details about how insurers will handle billing after these changes, leaving this aspect uncertain.

Amendment to Remove Payment Rules for Physician Associates

This amendment removes rules about payment for services performed by physician associates and changes how state laws apply to their billing.

What This Bill Does

• Removes a rule that required insurers to pay for services done by physician associates if the same service would have been covered if a doctor did it.
• Changes the wording so that 'existing' is removed from references to state laws about physician associate billing.

Who It Names or Affects

• Physician associates who provide medical services.
• Insurance companies and other third parties involved in health care payments.

Terms To Know

physician associate

A healthcare professional who works under the supervision of a doctor to provide patient care, similar to a nurse practitioner.

Limits and Unknowns

• Does not specify what happens if the removed rules are needed in the future.
• The exact impact on physician associates' income is unclear without further information.

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.