S0225B1809A05208 NAD:AAS 06/28/22 #90 A05208
AMENDMENTS TO SENATE BILL NO. 225
Sponsor: SENATOR PHILLIPS-HILL
Printer's No. 1809
Amend Bill, page 28, line 28, by inserting after "INSURER"
, MCO or contractor
Amend Bill, page 35, lines 3 through 12, by striking out all
of said lines and inserting
"Urgent health care service." A covered health care service
subject to prior authorization that is delivered on an expedited
basis for the treatment of an acute condition with symptoms of
sufficient severity pursuant to a determination by a duly
licensed and board-certified treating physician, operating
within the individual's scope of practice and professional
expertise, that the absence of such significant medical
intervention is likely to result in serious, long-term health
complications or a material deterioration in the enrollee's
condition and prognosis.
Amend Bill, page 40, line 16, by striking out the bracket
before "EMERGENCY"
Amend Bill, page 40, line 16, by striking out the bracket
after "EMERGENCY"
Amend Bill, page 40, line 18, by striking out the bracket
before "EMERGENCY"
Amend Bill, page 40, line 18, by striking out the bracket
after "EMERGENCY"
Amend Bill, page 60, line 15, by inserting after "A"
complete
Amend Bill, page 61, by inserting between lines 6 and 7
(4) Upon receipt of a submission of a prior authorization
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request, an insurer, MCO or contractor shall notify the health
care provider of any missing or other supporting information
necessary to make it a complete prior authorization request in
accordance with subsection (h).
Amend Bill, page 61, line 7, by striking out "(1)"
Amend Bill, page 61, lines 22 through 24, by striking out all
of said lines
Amend Bill, page 73, lines 10 through 12, by striking out all
of said lines and inserting
Section 11. This act shall take effect as follows:
(1) This section shall take effect immediately.
(2) The addition of section 2155 of the act shall take
effect January 1, 2023.
(3) The remainder of this act shall take effect January
1, 2024.
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