AN ACT CONCERNING HEALTH INSURANCE AND PATIENT PROTECTION.
To: (1) Establish (A) certain reporting requirements and enforcement provisions concerning compliance with mental health and substance use disorder benefit laws, and (B) the parity advancement account; (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; (3) establish certain prohibitions on the use of step therapy for prescription drugs; (4) require health carriers to include certain provisions in contracts with health care providers regarding reimbursement for certain covered health benefits; (5) establish certain requirements concerning stop loss insurance policies for health care or medical benefits under any self-funded employee health benefit plan; (6) establish certain health insurance rate filing requirements and require that the Insurance Commissioner adopt regulations concerning affordability in rate filing; (7) prohibit the use of artificial intelligence to make an adverse determination based on medical necessity; and (8) prohibit any individual or group health insurance policy from imposing (A) arbitrary time limits on reimbursement for general anesthesia services, or (B) unilateral arbitrary limitations on reimbursement for medically necessary ancillary services.
Introduced by:
Insurance and Real Estate CommitteeNew today | 2-4 days old | 5 days & older |
Text of Bill | |
APP Joint Favorable [doc] | |
JUD Joint Favorable [doc] | |
File No. 419 [doc] | |
INS Joint Favorable Substitute [doc] | |
Committee Bill [doc] | |
Proposed Bill [doc] |
Uncalled Amendments | |
Senate LCO Amendment #8138 (D) [doc] |
Fiscal Notes | |
Fiscal Note for Amendment LCO 8138 (See Fiscal Note Details) | |
Fiscal Note For File Copy 419 |
Bill Analyses | |
Bill Analysis For File Copy 419 |
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Co-sponsors for Amendment LCO:
Bill History
Date | Action Taken | ||
---|---|---|---|
5/13/2025 | Favorable Report, Tabled for the Calendar, Senate | ||
5/13/2025 | No New File by Committee on Appropriations | ||
5/13/2025 | (LCO) | Reported Out of Legislative Commissioners' Office | |
5/13/2025 | (LCO) | Filed with Legislative Commissioners' Office | |
5/12/2025 | (APP) | Joint Favorable | |
5/8/2025 | Immediate Transmittal | ||
5/8/2025 | Referred by Senate to Committee on Appropriations | ||
5/7/2025 | Favorable Report, Tabled for the Calendar, Senate | ||
5/7/2025 | No New File by Committee on Judiciary | ||
5/7/2025 | (LCO) | Reported Out of Legislative Commissioners' Office | |
5/6/2025 | (LCO) | Filed with Legislative Commissioners' Office | |
5/6/2025 | (JUD) | Joint Favorable | |
5/1/2025 | Referred by Senate to Committee on Judiciary | ||
4/2/2025 | (LCO) | File Number 419 | |
4/2/2025 | Senate Calendar Number 241 | ||
4/2/2025 | Favorable Report, Tabled for the Calendar, Senate | ||
4/2/2025 | (LCO) | Reported Out of Legislative Commissioners' Office | |
3/27/2025 | (LCO) | Referred to Office of Legislative Research and Office of Fiscal Analysis 04/01/25 5:00 PM | |
3/17/2025 | (LCO) | Filed with Legislative Commissioners' Office | |
3/13/2025 | (INS) | Joint Favorable Substitute | |
2/28/2025 | Public Hearing 03/06 | ||
2/26/2025 | Referred to Joint Committee on Insurance and Real Estate | ||
2/25/2025 | Drafted by Committee | ||
1/21/2025 | (INS) | Vote to Draft | |
1/8/2025 | Referred to Joint Committee on Insurance and Real Estate |
Co-sponsors of SB-10
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