Proposed S.B. No. 29
Session Year 2019

AN ACT CONCERNING THE BURDEN OF PROOF DURING ADVERSE DETERMINATION AND UTILIZATION REVIEWS.

To require that health carriers bear the burden of proving that certain health care services under adverse determination or utilization review are not medically necessary.

Other Bills with Similar Topics

  Utilization review 

 

• HB07424 - AN ACT CONCERNING THE STATE BUDGET FOR THE BIENNIUM ENDING JUNE 30, 2021, AND MAKING APPROPRIATIONS THEREFOR, AND PROVISIONS RELATED TO REVENUE AND OTHER ITEMS TO IMPLEMENT THE STATE BUDGET.

  Health insurance claims denials 

 

• SB00037 - AN ACT REQUIRING HEALTH INSURANCE COVERAGE OF A PRESCRIBED DRUG DURING ADVERSE DETERMINATION REVIEWS AND EXTERNAL REVIEW PROCESSES.
• SB00038 - AN ACT REDUCING THE TIME FRAME FOR URGENT CARE ADVERSE DETERMINATION REVIEW REQUESTS AND EXPEDITED EXTERNAL REVIEWS.
• SB00043 - AN ACT PROHIBITING HEALTH CARRIERS FROM DENYING COVERAGE FOR CERTAIN COVERED BENEFITS PROVIDED IN HOSPITAL EMERGENCY ROOMS.