Establishes network adequacy standards for preferred provider benefit plans in health insurance.
Establishes network adequacy standards for preferred provider benefit plans in health insurance, requiring insurers to monitor compliance and report deviations. Specifies maximum travel times and distances for various physician specialties and institutional providers. Insurers must ensure availability and accessibility of a full range of contracted physicians and health care providers. Allows for waivers under certain conditions and mandates corrective actions to maintain compliance.
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