SB 363
Health care coverage: independent medical review.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Appropriations
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Sign in to take action- Introduced
- Passed Senate
- Passed Assembly
- To Governor
- Became Law
Bill overview
This bill aims to increase transparency and accountability in health care coverage decisions. It requires health care service plans and health insurers to report detailed data on treatment denials and modifications, including the reasons for these decisions. The bill also establishes a system for independent medical reviews and imposes penalties on plans and insurers if a significant percentage of these reviews result in overturning or reversing initial denials or modifications. Finally, it creates dedicated funds for administrative penalties associated with these provisions.
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