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Legislation


1999 Regular Session

HOUSE BILL 1054

File Code: Insurance - Health and Life
Sponsored By:
Delegate Donoghue
Entitled:
Utilization Review - Qualifications of Physicians Making Adverse Decisions

Synopsis:

Requiring, for purposes of utilization review of services related to the treatment of alcoholism, drug abuse, or mental illness and for purposes of utilization review generally, that all adverse decisions be made by a physician who is board certified or eligible in the same specialty as the treatment under review under specified circumstances; requiring that the final determination of the appeal of adverse decisions be made based on the professional judgment of a physician, or a panel that includes a physician; etc.

History by Legislative Date

House Action
2/18
First Reading House Rules
2/24
Re-referred Environmental Matters
Hearing 3/18 at 1:00 p.m.
3/27
Unfavorable Report by Environmental Matters
Senate Action
No Action
Bill indexed under the following Subjects:
ALCOHOLISM
APPEALS -see also- JUDICIAL REVIEW
HEALTH INSURANCE -see also- HMO; MANAGED CARE ORGANIZATIONS.
HEALTH MAINTENANCE ORGANIZATIONS -see also- MAN. CARE ORGS
HEALTH OCCUPATIONS
HEALTH PLANNING AND COST REVIEW
LICENSES -see also- ALC. BEVERAGES LIC; DRIVERS' LIC
MENTAL HEALTH
PHYSICIANS
Bill affects the following Statutes:
Insurance
( 15-10B-06 , 15-10B-07 )

Documents:

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

Amendments: None offered
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