2008 Regular Session

HOUSE BILL 1081

File Code: Insurance - Health
Sponsored By:
Delegates Love, Costa, Kipke, Morhaim, and Weldon
Entitled:
Health Insurance - Reimbursement of Providers of Health Care Services - Claims

Synopsis:

Prohibiting specified managed care organizations from downcoding claims for reimbursement for specified services rendered in compliance with specified federal law based on an auto-pay diagnosis code list; and requiring that an audit by specified managed care organizations of specified services rendered in compliance with specified federal law be conducted based on guidelines followed by auditors at the Centers for Medicare and Medicaid Services.

History by Legislative and Calendar Date

Legislative date is used to record history occuring in the Chambers otherwise Calendar date is used.
House Action
2/7
First Reading Health and Government Operations
2/13
Hearing 2/28 at 1:00 p.m.
3/4
Withdrawn
Senate Action
No Action

Sponsored by:

Delegate Mary Ann E. Love, District 32
Delegate Robert A. Costa, District 33B
Delegate Nicholaus R. Kipke, District 31
Delegate Dan K. Morhaim, District 11
Delegate Richard B. Weldon, Jr., District 3B

Bill indexed under the following Subjects:

Auditors and Audits
Emergencies
Health Occupations -see also- specific health occupations
Managed Care Organizations -see also- Health Maint Orgs
Medical Assistance
Physicians -see also- Dentists; Med Exmnrs; Psych; etc
Reimbursement Rates

Bill affects the following Statutes:

Health - General
( 15-102.4 )
Insurance
( 15-1005 )

Documents:

Bill Text (Displayed in PDF Format): First Reading, Third Reading, Enrolled
Fiscal and Policy Note (Displayed in PDF Format): Available
Amendments: None offered