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
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.
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
)
- 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)