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:
Public Health Committee| New today | 2-4 days old | 5 days & older |
| Text of Bill | |
| File No. 18 [doc] | |
| PH Joint Favorable [doc] | |
| Raised Bill [doc] |
| Uncalled Amendments | |
| Senate LCO Amendment #4233 (R) [doc] |
| Committee Actions | |
| PH Joint Fav. Rpt | |
| PH Vote Tally Sheet (Joint Favorable) |
| Fiscal Notes | |
| Fiscal Note for Amendment LCO 4233 (See Fiscal Note Details) | |
| Fiscal Note For File Copy 18 |
| Bill Analyses | |
| Bill Analysis For File Copy 18 |
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Co-sponsors for Amendment LCO:
Bill History
| Date | Action Taken | ||
|---|---|---|---|
| 3/13/2024 | (LCO) | File Number 18 | |
| 3/13/2024 | Senate Calendar Number 43 | ||
| 3/13/2024 | Favorable Report, Tabled for the Calendar, Senate | ||
| 3/13/2024 | (LCO) | Reported Out of Legislative Commissioners' Office | |
| 3/7/2024 | (LCO) | Referred to Office of Legislative Research and Office of Fiscal Analysis 03/12/24 5:00 PM | |
| 3/4/2024 | (LCO) | Filed with Legislative Commissioners' Office | |
| 3/4/2024 | (PH) | Joint Favorable | |
| 2/22/2024 | Public Hearing 02/26 | ||
| 2/21/2024 | Referred to Joint Committee on Public Health |
Co-sponsors of SB-180
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