AN ACT CONCERNING ADVERSE DETERMINATION AND UTILIZATION REVIEWS.
To: (1) Redefine "clinical peer" for the purposes of adverse determination and utilization reviews; (2) require health carriers to bear the burden of proving that certain health care services under adverse determination or utilization review are not medically necessary; and (3) require health carriers to provide certain clinical peers with authority to reverse initial adverse determinations.
Introduced by:Sen. Martin M. Looney, 11th Dist.
|New today||2-4 days old||5 days & older|
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Co-sponsors for Amendment LCO:
|1/12/2023||Referred to Joint Committee on Insurance and Real Estate|