File Code: Insurance - Health and Life
- Sponsored By:
-
Delegates Barve and Goldwater
- Entitled:
-
Health Insurers - Appeal of Reimbursement Decisions - Nontermination
Provision
Requiring health insurers, including health maintenance organizations,
to give health care providers the opportunity to seek a
reconsideration or appeal of the insurer's or health maintenance
organization's determination to refuse to pay a claim or portion of a
claim for reimbursement; prohibiting health insurers from terminating
a provider from the insurer's provider panel because the provider
sought a reconsideration or appeal of the insurer's refusal to pay a
claim or portion of a claim; etc.
House Action
- 1/31
- First Reading Economic Matters
- 2/14
- Hearing 2/27 at 1:00 p.m.
- 3/12
- Unfavorable Report by Economic Matters
Senate Action
- No Action
- Sponsored by:
- Delegate Kumar P. Barve, District 17
- Delegate Marilyn Goldwater, District 16
- Bill indexed under the following Subjects:
- APPEALS -see also- JUDICIAL REVIEW
- HEALTH MAINTENANCE ORGANIZATIONS
- HEALTH OCCUPATIONS
- HOSPITALS -see also- CLINICS
- INSURANCE-HEALTH -see also- HEALTH MAINTENANCE ORGANIZATIONS
- PHYSICIANS AND MEDICAL PERSONNEL
- Bill affects the following Statutes:
- Health - General
- (
19-712.1
)
- Article - 48A Insurance Code
- (
354Z ,
354Z ,
470U ,
470U ,
477AA ,
477AA ,
490CC
)
- Bill Text:
- First Reading (PDF),
Third Reading, Enrolled
- Fiscal Note:
Available (PDF)
Amendments:
None available
