SENATE BILL 335

CHAPTER NUMBER: 163 File Code: Insurance - Health and Life Crossfiled with: HOUSE BILL 809

Sponsored By:

Senator Dorman

Entitled:

Health Insurance - Health Care Providers - Retroactive Denials of Reimbursement

Synopsis:

Restricting the time period during which health insurance carriers may retroactively deny reimbursement to health care providers; requiring carriers to provide a specified statement to providers concerning a retroactive reimbursement denial; prohibiting carriers from retroactively denying reimbursement or attempting to retroactively collect reimbursement already paid to providers under specified circumstances; allowing a provider a specified time period in which to submit a specified claim for reimbursement; and requiring a study.

Legislative History

Senate Action

1/24

First Reading Finance

1/28

Hearing 2/13 at 1:00 p.m.

1/29

Hearing cancelled

Hearing 2/13 at 1:30 p.m.

3/3

Favorable with Amendments Report by Finance

3/4

Favorable with Amendments Report Adopted

Special Order 3/5 (Senator Young) Adopted

3/5

Special Order 3/6 (Senator Dorman) Adopted

3/6

Floor Committee Amendment (Finance) Adopted

Second Reading Passed with Amendments

3/10

Third Reading Passed (45-0)

4/5

Returned Passed

4/29

Signed by the Governor Chapter 163

House Action

3/11

First Reading Economic Matters

3/20

Hearing 3/25 at 1:00 p.m.

4/3

Favorable Report by Economic Matters

3/30

Favorable Report Adopted

Special Order 4/4 (Delegate Arnick) Adopted

3/31

Second Reading Passed

4/1

Floor Amendment (Delegate Redmer) Rejected (37-84)

Third Reading Passed (133-1)

Bill indexed under the following Subjects:

HEALTH INSURANCE -see also- HMO; MANAGED CARE ORGANIZATIONS.

HEALTH MAINTENANCE ORGANIZATIONS

HEALTH OCCUPATIONS

Bill affects the following Statutes:

Health - General

( 19-706 )

Insurance

( 15-1008 )

Documents:

Bill Text:

First Reading (PDF), Third Reading (PDF), Enrolled

Fiscal Note: Available (PDF)

Amendments:

Senate

Number: 587141/1 (PDF) Offered on: MARCH 4, 1997 at: 11:12 Status: Adopted

Number: 587141/2 (PDF) Offered on: MARCH 6, 1997 at: 10:47 Status: Adopted

House

Number: 092399/1 (PDF) Offered on: APRIL 5, 1997 at: 17:15 Status: Rejected