- SB00029 - AN ACT CONCERNING THE BURDEN OF PROOF DURING ADVERSE DETERMINATION AND UTILIZATION REVIEWS.
- SB00037 - AN ACT REQUIRING HEALTH INSURANCE COVERAGE OF PRESCRIBED DRUGS DURING ADVERSE DETERMINATION REVIEWS AND EXTERNAL REVIEW PROCESSES.
- SB00038 - AN ACT REDUCING THE TIME FRAME FOR URGENT CARE ADVERSE DETERMINATION REVIEW REQUESTS.
Proposed S.B. No. 43
Session Year 2019
AN ACT PROHIBITING HEALTH CARRIERS FROM DENYING COVERAGE FOR CERTAIN COVERED BENEFITS PROVIDED IN HOSPITAL EMERGENCY ROOMS.
To provide that no health carrier that delivers, issues for delivery, renews, amends or continues a health insurance policy in this state shall deny coverage for a covered benefit provided to an insured in a hospital emergency room because the covered benefit could have been provided to the insured in another health care setting.
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Health insurance claims denials