2001 Regular Session

SENATE BILL 856

CHAPTER NUMBER: 173 File Code: Insurance - Health
Sponsored By:
Senator Bromwell
Entitled:
Health Insurance - Appeals and Grievances Procedures - Modifications

Synopsis:

Establishing, for a retrospective denial, a 180-day minimum period for a member or a health care provider on behalf of a member to file a grievance related to a carrier's adverse decision; extending to 30 working days the period for a member or a provider on behalf of a member to file a complaint with the Insurance Commissioner for review of a carrier's grievance decision; requiring a carrier to report quarterly to the Commissioner the number of adverse decisions issued by the carrier and the type of service at issue; etc.

History by Legislative Date

Senate Action
2/21
First Reading Senate Rules
2/23
Re-referred Finance
Hearing 3/7 at 1:00 p.m.
3/13
Favorable with Amendments Report by Finance
3/14
Favorable with Amendments Report Adopted
Second Reading Passed with Amendments
3/16
Third Reading Passed (44-0)
4/3
Returned Passed
4/20
Signed by the Governor Chapter 173
House Action
3/16
First Reading Economic Matters
3/21
Hearing 3/29 at 1:00 p.m.
4/5
Favorable Report by Economic Matters
3/31
Favorable Report Adopted
Second Reading Passed
4/2
Third Reading Passed (139-0)
Bill indexed under the following Subjects:
APPEALS -see also- JUDICIAL REVIEW
CONSUMER PROTECTION -see also- UNFAIR TRADE PRACTICES
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
PATIENTS
REPORTS
Bill affects the following Statutes:
Insurance
( 15-10A-02 , 15-10A-03 , 15-10A-06 )

Documents:

Bill Text: First Reading (PDF), Third Reading (PDF), Enrolled
Fiscal Note: Available (PDF)
Amendments:
Senate
Number: 527972/1 (PDF)     Offered on: March 14, 2001   at: 12:16 p.m.     Status: Adopted
Roll Call Votes (Legislative dates are shown):
Senate
March 16, 2001: Third Reading Passed (44-0)
House
April 2, 2001: Third Reading Passed (139-0)