A BILL TO BE ENTITLED
AN ACT TO AUTHORIZE THE north carolina health insurance RISK pool TO NEGOTIATE RATES FOR SERVICES PROVIDED TO PERSONS COVERED UNDER THE POOL BY OUT‑OF‑STATE PROVIDERS.
The General Assembly of North Carolina enacts:
SECTION 1.  G.S. 58‑50‑190(d) reads as rewritten:
"§ 58‑50‑190.  Risk Pool rates and policy forms.
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(d)	Except as otherwise provided in this subsection for services rendered outside of North Carolina, provider reimbursement rates under Pool coverage shall be limited to the rates allowed for providers under the Medicare Program for those services covered by Medicare. The Board shall establish reimbursement rates for services for which Medicare has not established an allowed rate. Providers rendering medical care to an insured shall accept payment of the amount established under this subsection, including any applicable deductible, coinsurance, or co‑payment amounts, as payment in full for services rendered. For providers rendering medical care and emergency services to Pool-insured outside this State, the Pool is authorized to negotiate and settle such claims at reimbursement rates that may exceed the rates allowed under the Medicare program.
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SECTION 2.  This act is effective when it becomes law.