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ACROSS SESSIONS
- Subject Index: Since 1995
- Bills & Resolutions: Since 1994
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Developed and maintained by the Division of Legislative Automated Systems.
2000 SESSION
HB 726 Managed care health insurance plans.
Introduced by: John H. Rust, Jr. | all patrons ... notes | add to my profiles
SUMMARY AS PASSED: (all summaries)
Managed care health insurance plans; Office of Managed Care Ombudsman; External Review Process. Clarifies provisions of the 1999 omnibus health insurance legislation regarding the Managed Care Ombudsman and the external review process. The amendments make clear that legislation created an Office of Managed Care Ombudsman, rather than a single position. Other amendments regarding the External Review Process (i) establish the threshold for the External Review Process at $300 in out-of-pocket costs to the covered person if the adverse decision is not reversed; (ii) increase to 30 days the time period for the external reviewer to complete its review; (iii) increase the other time periods for actions by the parties related to the review and the Bureau; (iv) make a utilization review entity's failure to comply with the Commissioner's written ruling subject to sanctions as a knowing and willful violation of the statute; (v) provide that fees paid by utilization review entities are paid to the Bureau's maintenance fund; (vi) establish sanctions against utilization review entities who fail to pay the fee within a reasonable time; (vii) provide that, before entering in to contracts with an impartial health entity to conduct external reviews, the Bureau shall determine that the entity possesses the necessary credentials and is otherwise qualified to conduct the review; (viii) limits access to the external review process to individuals covered under a contract issued in this Commonwealth; and (ix) clarify that the Commissioner of Insurance is to affirm recommendations of the independent review entity unless they are arbitrary, capricious or beyond the review entity's authority. The bill also makes a number of housekeeping amendments to other provisions of the 1999 legislation.
FULL TEXT
- 01/21/00 House: Presented & ordered printed 003310254 pdf
- 02/03/00 House: Committee substitute printed 003373924-H1 pdf
- 02/07/00 House: Floor substitute printed 001367840-H2 (McEachin) pdf
- 03/14/00 House: Bill text as passed House and Senate (HB726ER) pdf
- 05/04/00 Governor: Acts of Assembly Chapter text (CHAP0922) pdf
AMENDMENTS
HISTORY
- 01/21/00 House: Presented & ordered printed 003310254
- 01/21/00 House: Referred to Committee on Corporations, Insurance and Banking
- 02/03/00 House: Committee substitute printed 003373924-H1
- 02/03/00 House: Reported from C. I. B. w/sub (22-Y 2-N)
- 02/04/00 House: Read first time
- 02/07/00 House: Read second time
- 02/07/00 House: Committee substitute agreed to 003373924-H1
- 02/07/00 House: Pending question ordered
- 02/07/00 House: Floor substitute printed 001367840-H2 (McEachin)
- 02/07/00 House: Sub. by Del. McEachin agreed to (50-Y 48-N) 001367840-H2
- 02/07/00 House: VOTE: ADOPTION (50-Y 48-N 1-A)
- 02/07/00 House: Passed by for the day
- 02/08/00 House: Engrossment reconsidered by House (51-Y 48-N)
- 02/08/00 House: VOTE: RECONSIDERATION (51-Y 48-N)
- 02/08/00 House: Passed by for the day
- 02/09/00 House: Read second time
- 02/09/00 House: Pending question ordered
- 02/09/00 House: Substitute by Del. McEachin rejected (46-Y 52-N)
- 02/09/00 House: VOTE: ADOPTION (46-Y 52-N)
- 02/09/00 House: Passed by temporarily
- 02/09/00 House: Passed by for the day
- 02/10/00 House: Read second time
- 02/10/00 House: Amendments by Del. Cranwell rejected (45-Y 54-N)
- 02/10/00 House: VOTE: ADOPTION (45-Y 54-N)
- 02/10/00 House: Amendment by Del. McEachin rejected (43-Y 52-N)
- 02/10/00 House: VOTE: ADOPTION (43-Y 52-N)
- 02/10/00 House: Engrossed by House - com. sub. 003373924-H1
- 02/11/00 House: Read third time and passed House (97-Y 1-N)
- 02/11/00 House: VOTE: PASSAGE (97-Y 1-N 1-A)
- 02/11/00 House: Communicated to Senate
- 02/14/00 Senate: Constitutional reading dispensed
- 02/14/00 Senate: Referred to Committee on Commerce and Labor
- 02/28/00 Senate: Reported from Commerce and Labor (14-Y 0-N)
- 02/29/00 Senate: Const. reading disp., passed by for the day (38-Y 0-N)
- 02/29/00 Senate: VOTE: CONST. RDG. DISPENSED R (38-Y 0-N)
- 03/01/00 Senate: Read third time
- 03/01/00 Senate: Reading of amendment waived
- 03/01/00 Senate: Amendment by Sen. Edwards ruled not germane by Chair
- 03/01/00 Senate: Ruling of Chair sustained (24-Y 16-N)
- 03/01/00 Senate: VOTE: SUSTAIN RULING CHAIR (24-Y 16-N)
- 03/01/00 Senate: Reconsider vote sustaining ruling of Chair (40-Y 0-N)
- 03/01/00 Senate: VOTE: RECONSIDER (40-Y 0-N)
- 03/01/00 Senate: Ruling of Chair sustained (22-Y 18-N)
- 03/01/00 Senate: VOTE: SUSTAIN RULING CHAIR (22-Y 18-N)
- 03/01/00 Senate: Passed Senate (40-Y 0-N)
- 03/01/00 Senate: VOTE: PASSAGE R (40-Y 0-N)
- 03/14/00 House: Bill text as passed House and Senate (HB726ER)
- 03/16/00 House: Enrolled
- 03/16/00 House: Signed by Speaker
- 03/17/00 Senate: Signed by President
- 04/09/00 Governor: Approved by Governor-Chapter 922 (effective 7/1/00)
- 05/04/00 Governor: Acts of Assembly Chapter text (CHAP0922)