HOUSE BILL 255

File Code: Health Maintenance Organizations Prior Year Introduction As: HB 1154/96 - ENV

Sponsored By:

Delegates Morhaim, Nathan-Pulliam, and Klausmeier

Entitled:

Utilization Review - Adverse Decisions

Synopsis:

Providing that a private review agent, under specified circumstances, may not retrospectively render an adverse decision for services determined to be medically necessary by the patient's attending physician.

Legislative History

House Action

1/17

First Reading Environmental Matters

2/5

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

3/26

Referred to interim study by Environmental Matters

Senate Action

No Action

Sponsored by:

Delegate Dan K. Morhaim, District 11

Delegate Katherine Klausmeier, District 8

Delegate Shirley Nathan-Pulliam, District 10

Bill indexed under the following Subjects:

HEALTH MAINTENANCE ORGANIZATIONS

HEALTH OCCUPATIONS

HEALTH PLANNING AND COST REVIEW

PHYSICIANS

Bill affects the following Statute:

Health - General

( 19-1305.3 )

Documents:

Bill Text:

First Reading (PDF), Third Reading, Enrolled

Fiscal Note: Available (PDF)