Amends TCA Title 56 and Title 71.
Tennessee HB0651 prohibits health insurance entities and managed care organizations (MCOs) from including "all-products clauses" in network provider agreements, which require healthcare providers to participate in multiple networks or plans as a condition of participation. The bill affects healthcare providers, including physicians and advanced practice registered nurses, by ensuring they are not compelled to join additional networks to maintain their participation status. Key provisions include civil penalties for violations and the establishment of appointment wait time standards and network adequacy standards to be enforced by the Tennessee Bureau of TennCare.
Tennessee HB0651 prohibits health insurance entities and managed care organizations (MCOs) from including "all-products clauses" in network provider agreements, which require healthcare providers to participate in multiple networks or plans as a condition of participation. The bill affects healthcare providers, including physicians and advanced practice registered nurses, by ensuring they are not compelled to join additional networks to maintain their participation status. Key provisions include civil penalties for violations and the establishment of appointment wait time standards and network adequacy standards to be enforced by the Tennessee Bureau of TennCare.
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