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Legislation


1998 Regular Session

SENATE BILL 84

File Code: Insurance - Health and Life
Sponsored By:
Senators Green, Hollinger, Dorman, Hafer, Madden, Teitelbaum, and Van Hollen
Entitled:
Managed Care Entities - Health Care Treatment and Benefit Determinations - Liability and Utilization Review Complaint and Appeal Processes and Procedures

Synopsis:

Establishing the liability of specified carriers and managed care entities for damages that an insured or enrollee suffers as a result of a health care treatment decision of the carrier or managed care entity; establishing specified defenses to liability; establishing a health care benefit utilization review complaint and appeal process; specifying the requirements of the utilization review process, including the method by which complaints may be initiated by enrollees, insureds and health care providers; etc.

History by Legislative Date

Senate Action
8/7
Pre-filed
1/14
First Reading Judicial Proceedings
2/11
Hearing 3/10 at 1:00 p.m.
3/4
Hearing cancelled
Hearing 3/17 at 1:00 p.m.
House Action
No Action
Sponsored by:
Senator Leo E. Green, District 23
Senator Arthur Dorman, District 21
Senator John J. Hafer, District 1
Senator Paula Colodny Hollinger, District 11
Senator Martin G. Madden, District 13
Senator Leonard H. Teitelbaum, District 19
Senator Christopher Van Hollen, Jr., District 18
Bill indexed under the following Subjects:
APPEALS -see also- JUDICIAL REVIEW
DAMAGES
HEALTH -see also- MENTAL HEALTH
HEALTH INSURANCE -see also- HMO; MANAGED CARE ORGANIZATIONS.
HEALTH MAINTENANCE ORGANIZATIONS -see also- MAN. CARE ORGS
HEALTH PLANNING AND COST REVIEW
INSURANCE ADMINISTRATION
LICENSES -see also- ALC. BEVERAGES LICENSES; DRIVERS' LIC
MANAGED CARE ORGANIZATIONS -see also- HEALTH MAINT. ORGS
RULES AND REGULATIONS
Bill affects the following Statutes:
Courts and Judicial Proceedings
( 3-2C-01 , 3-2C-02 , 3-2C-03 , 3-2C-04 , 3-2C-05 , 11-108 )
Health - General
( 19-705.2 , 19-705.3 , 19-705.3 , 19-706 )
Insurance
( 15-112 , 15-1601 , 15-1602 , 15-1603 , 15-1604 , 15-1605 , 15-1606 , 15-1701 , 15-1702 , 15-1703 , 15-1704 , 15-1705 )

Documents:

Bill Text: First Reading (PDF), Third Reading, Enrolled
Fiscal Note: Available (PDF)

Amendments: None offered
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