HOUSE BILL 480

File Code: Insurance - Health and Life

Sponsored By:

Delegates Barve and Goldwater

Entitled:

Health Insurers - Appeal of Reimbursement Decisions - Nontermination Provision

Synopsis:

Requiring health insurers, including health maintenance organizations, to give health care providers the opportunity to seek a reconsideration or appeal of the insurer's or health maintenance organization's determination to refuse to pay a claim or portion of a claim for reimbursement; prohibiting health insurers from terminating a provider from the insurer's provider panel because the provider sought a reconsideration or appeal of the insurer's refusal to pay a claim or portion of a claim; etc.

Legislative History

House Action

1/31

First Reading Economic Matters

2/14

Hearing 2/27 at 1:00 p.m.

3/12

Unfavorable Report by Economic Matters

Senate Action

No Action

Sponsored by:

Delegate Kumar P. Barve, District 17

Delegate Marilyn Goldwater, District 16

Bill indexed under the following Subjects:

APPEALS -see also- JUDICIAL REVIEW

HEALTH MAINTENANCE ORGANIZATIONS

HEALTH OCCUPATIONS

HOSPITALS -see also- CLINICS

INSURANCE-HEALTH -see also- HEALTH MAINTENANCE ORGANIZATIONS

PHYSICIANS AND MEDICAL PERSONNEL

Bill affects the following Statutes:

Health - General

( 19-712.1 )

Article - 48A Insurance Code

( 354Z , 354Z , 470U , 470U , 477AA , 477AA , 490CC )

Documents:

Bill Text:

First Reading (PDF), Third Reading, Enrolled

Fiscal Note: Available (PDF)

Amendments: None available