2000 Regular Session

HOUSE BILL 405

CHAPTER NUMBER: 371 File Code: Insurance - Health Crossfiled with: SENATE BILL 164
Sponsored By:
Chairman, Economic Matters Committee (Departmental - Insurance Administration, Maryland)
Entitled:
Health Insurance - Internal Appeal and Grievance Processes

Synopsis:

Requiring insurance carriers to document an adverse decision and to provide written notice of an adverse decision that includes the factual basis for the decision and references specified criteria and standards to specified persons; requiring carriers to establish an internal appeal process for use by their members and health care providers for disputes relating to coverage decisions and providing that carriers can comply with this requirement in a specified manner; requiring carriers to meet the burden of persuasion as specified; etc.

History by Legislative Date

House Action
2/3
First Reading Economic Matters
2/9
Hearing 2/16 at 1:00 p.m.
3/6
Favorable with Amendments Report by Economic Matters
3/7
Favorable with Amendments Report Adopted
Floor Committee Amendment Adopted
Second Reading Passed with Amendments
3/10
Third Reading Passed (136-2)
4/4
House Concur - Senate Amendments
Third Reading Passed (135-2)
Passed Enrolled
5/11
Signed by the Governor Chapter 371
Senate Action
3/13
First Reading Finance
3/15
Hearing 3/22 at 1:00 p.m.
3/28
Favorable with Amendments Report by Finance
3/29
Favorable with Amendments Report Adopted
Second Reading Passed with Amendments
3/30
Third Reading Passed with Amendments (47-0)
Sponsored by:
Chairman, Econ. Matters Comm.
Departmental
Bill indexed under the following Subjects:
APPEALS -see also- JUDICIAL REVIEW
CONSUMER PROTECTION -see also- UNFAIR TRADE PRACTICES
DISCLOSURE
HEALTH INSURANCE -see also- HMOS; MANAGED CARE ORGANIZATIONS
HEALTH MAINTENANCE ORGANIZATIONS -see also- MAN CARE ORGS
HEALTH OCCUPATIONS -see also specific health occupations-
INSURANCE ADMINISTRATION
NOTICES
PENALTIES
RECORDS -see also- LAND RECORDS; VITAL RECORDS
RULES AND REGULATIONS
Bill affects the following Statutes:
Insurance
( 15-10A-02 , 15-10A-02 , 15-10A-02 , 15-10D-01 , 15-10D-02 , 15-10D-03 , 15-10D-04 )

Documents:

Bill Text: First Reading (PDF), Third Reading (PDF), Enrolled (PDF)
Fiscal Note: Available (PDF)
Amendments:
House
Number: 523194/1 (PDF)     Offered on: March 7, 2000   at: 10:44 a.m.     Status: Adopted
Number: 663597/1 (PDF)     Offered on: March 7, 2000   at: 10:43 a.m.     Status: Adopted
Senate
Number: 277172/1 (PDF)     Offered on: March 29, 2000   at: 12:44 p.m.     Status: Adopted
Roll Call Votes (Legislative dates are shown):
House
March 10, 2000: Third Reading Passed (136-2)
April 4, 2000: Third Reading Passed (135-2)
Senate
March 30, 2000: Third Reading Passed (47-0)