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Committee adopts amendment to Senate Bill 480 to tighten documentation and clinical-peer review rules
Summary
The committee approved amendment 6 to Senate Bill 480, adding documentation requirements for unanticipated care, clinical-peer review language aligned with House Bill 103, an annual review rule for chronic-condition plans and portability language for plan changes. The bill passed on a recorded vote.
The committee approved amendment 6 to Senate Bill 480, then voted to pass the bill as amended.
Amendment 6, presented by Doctor Johnson, adds four main changes to the bill: a requirement that providers document why unanticipated care was necessary during an episode; clinical-peer-review language patterned on House Bill 103 to ensure like-for-like specialty reviewers in insurer communications; an annual review requirement for chronic-condition plan design; and language clarifying that a plan need not cover a service when it is not covered under the enrollee’s new plan after switching carriers. "I felt that was very reasonable thing to to ask of the the…
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