summary
Introduced
01/22/2019
01/22/2019
In Committee
01/22/2019
01/22/2019
Crossed Over
Passed
Dead
12/31/2020
12/31/2020
Introduced Session
191st General Court
Bill Summary
Relative to insurance coverage for medically necessary services. Financial Services.
AI Summary
This bill aims to prevent inappropriate denials of medically necessary services by insurance carriers. Specifically, it requires carriers to pay for covered health services ordered by the treating provider, as long as the provider followed the carrier's authorization process. The bill also limits the timeframe in which carriers can recoup or adjust payments for claims, and requires carriers to provide written notice and a 30-day window for providers to challenge any recoupment requests. The purpose is to ensure that patients receive the medically necessary care they are entitled to under their health plans, and to provide clarity and protections for healthcare providers.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Accompanied a study order, see H5160 (on 12/01/2020)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://malegislature.gov/Bills/191/H1072 |
| Bill | https://malegislature.gov/Bills/191/H1072.pdf |
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