Bill > S793

This bill aims to prevent healthcare networks from unduly restricting patient referrals by introducing several key protections. The legislation would allow the healthcare commission to suspend or revoke a provider organization's registration if they violate referral restrictions, and explicitly protect healthcare providers who refer patients to outside, non-affiliated healthcare facilities when they reasonably believe it is in the patient's best interest or at the patient's direct request. The bill also prohibits healthcare facilities, providers, and provider groups from blocking medically necessary services or referrals based solely on network or affiliation status. Specifically, the law would make it clear that any attempt to prohibit or hinder such services would be considered an unfair method of competition and a deceptive act, which could be prosecuted under existing consumer protection laws. These provisions are designed to ensure that patient care is not compromised by profit-driven restrictions and that healthcare providers can recommend the most appropriate treatment options for their patients without fear of professional repercussions.

Business and Industry

https://malegislature.gov/Bills/194/S793