Sec. 6. (a) Except as provided in subsection (b), a person may not require a provider, as a condition of entering into a health provider contract for the provision of health care services other than health care services to enrollees of a health maintenance organization, to provide health care services to enrollees of a health maintenance organization.
(b) A person may require a provider, as a condition of entering into a health provider contract for the provision of health care services other than health care services to enrollees of a health maintenance organization, to provide health care services to enrollees of a health maintenance organization:
(1) in an emergency; or
(2) upon referral.
(c) If a person requires a provider to provide health care services to enrollees of a health maintenance organization under subsection (b), the person:
(1) shall reimburse the provider at rates established under the health provider contract; and
(2) may not require the provider to comply with the terms and conditions of the health maintenance organization.
As added by P.L.197-2001, SEC.1.
Structure Indiana Code
Article 1. Department of Insurance
Chapter 37. Health Provider Contracts
27-1-37-0.2. "Affiliate" Defined
27-1-37-1. "Emergency" Defined
27-1-37-1.5. "Health Carrier" Defined
27-1-37-2. "Health Maintenance Organization" Defined
27-1-37-3. "Health Provider Contract" Defined
27-1-37-3.2. "Health Provider Facility" Defined
27-1-37-3.5. "Hospital System" Defined
27-1-37-6. Requiring Provider to Provide Health Care Services