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HB 243: Health Care Management

GENERAL BILL by Patronis ; (CO-INTRODUCERS) Bovo ; Kreegel ; Williams, T.

Health Care Management; Prohibits insurers from engaging in actions encouraging insureds not to make payments before medical service is rendered; provides additional circumstances in which health insurer may not retroactively deny claims; requires claimants whose claims are denied for failure to obtain authorization to be provided opportunity to appeal; requires insurers to reverse denials under specified circumstances, etc.

Effective Date: 07/01/2009
Last Action: 5/2/2009 House - Indefinitely postponed and withdrawn from consideration; Died in Committee on Insurance, Business, & Financial Affairs Policy (GGPC)
Bill Text: Web Page | PDF

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  • Bill History

    Date Chamber Action
    1/6/2009 House • Filed
    2/6/2009 House • Referred to Insurance, Business, & Financial Affairs Policy (GGPC); General Government Policy Council; Government Operations Appropriations (CGHC); Full Appropriations Council on General Government & Health Care
    3/3/2009 House • Introduced, referred to Insurance, Business, & Financial Affairs Policy (GGPC); General Government Policy Council; Government Operations Appropriations (CGHC); Full Appropriations Council on General Government & Health Care -HJ 00026
    5/2/2009 House • Indefinitely postponed and withdrawn from consideration; Died in Committee on Insurance, Business, & Financial Affairs Policy (GGPC)

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  • HB 243, Original Filed Version (Current Bill Version) Posted 2/26/2009 at 5:19 PM

    Bill Text:   Web Page | PDF
    Analyses:   None

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location
    S 416 Health Care Management [CPSC] Fasano Similar Last Action: 5/2/2009 S Indefinitely postponed and withdrawn from consideration; Died in Committee on Banking and Insurance
    Location:

    Citations - Statutes (8)

    Citation Catchline Location in Bill Location In Bill Help
    627.6044 Use of a specific methodology for payment of claims.
    627.6131 Payment of claims.
    627.6141 Denial of claims.
    627.6474 Provider contracts.
    641.315 Provider contracts.
    641.3155 Prompt payment of claims.
    641.3156 Treatment authorization; payment of claims.
    641.54 Information disclosure.

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