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)