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Utah House approves "prudent layperson" standard for emergency coverage after heated debate
Summary
The House passed first substitute HB 185 establishing a "prudent layperson" reimbursement standard for emergency medical services, 39-32, after extensive debate about consumer protection, small-insurer burdens and claims appeal processes.
The Utah House on Feb. 17 approved first substitute House Bill 185, establishing a "prudent layperson" standard for reimbursement of emergency medical services. The sponsor, Representative Mary Carlson, said the measure is meant to ensure that individuals who seek emergency care based on reasonable perceptions of severe symptoms will have that care covered even if a later discharge diagnosis indicates a non-life-threatening condition.
Carlson illustrated the problem…
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