2000 Regular Session

SENATE BILL 164

File Code: Insurance - Health Crossfiled with: HOUSE BILL 405
Sponsored By:
Chairman, Finance 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 the decision to the member and the member's health care provider which includes information on the factual basis for the decision and references the specific criteria and standards; requiring carriers to establish an internal appeal process for use by its members and health care providers for disputes relating to coverage decisions and providing that carriers can comply with the requirement in a specified manner; etc.

History by Legislative Date

Senate Action
1/21
First Reading Finance
1/26
Hearing 2/9 at 1:00 p.m.
3/13
Favorable with Amendments Report by Finance
3/14
Favorable with Amendments
Laid Over (Senator Green) Adopted
3/16
Favorable with Amendments Report Adopted
Floor Amendment (Senator Green) Adopted
Second Reading Passed with Amendments
3/20
Third Reading Passed (47-0)
4/3
Senate Concur - House Amendment
Third Reading Passed (46-0)
Passed Enrolled
5/19
Governor vetoed - Cross-filed bill was signed
House Action
3/21
First Reading Economic Matters
3/22
Hearing 3/29 at 1:00 p.m.
4/3
Favorable with Amendments Report by Economic Matters
3/30
Favorable with Amendments Report Adopted
Second Reading Passed with Amendments
3/31
Third Reading Passed with Amendments (135-2)
Sponsored by:
Chairman, Finance 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
RULES AND REGULATIONS
Bill affects the following Statutes:
Insurance
( 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:
Senate
Number: 077777/1 (PDF)     Offered on: March 16, 2000   at: 10:28 a.m.     Status: Adopted
Number: 363023/1 (PDF)     Offered on: March 16, 2000   at: 10:29 a.m.     Status: Adopted
House
Number: 543399/1 (PDF)     Offered on: April 3, 2000   at: 11:42 a.m.     Status: Adopted
Roll Call Votes (Legislative dates are shown):
Senate
March 20, 2000: Third Reading Passed (47-0)
April 3, 2000: Third Reading Passed (46-0)
House
March 31, 2000: Third Reading Passed (135-2)