PRINTER'S NO. 2034
No. 1679 Session of 1989
INTRODUCED BY CORRIGAN, PESCI, BUNT, KOSINSKI, HALUSKA, MELIO,
PISTELLA, STABACK, DALEY, ROBINSON, DeWEESE, TRELLO, BELARDI,
KASUNIC AND HECKLER, JUNE 13, 1989
REFERRED TO COMMITTEE ON INSURANCE, JUNE 13, 1989
AN ACT
1 Amending the act of August 12, 1971 (P.L.313, No.78), entitled
2 "An act providing for elimination of discriminatory
3 provisions relating to compensation for services and
4 treatment under sickness and accident insurance contracts and
5 providing for nondiscriminatory reimbursement of sickness and
6 bodily injury claims thereunder," prohibiting the rejection
7 of a claim as medically unnecessary unless reviewed by a like
8 licensed person.
9 The General Assembly of the Commonwealth of Pennsylvania
10 hereby enacts as follows:
11 Section 1. The act of August 12, 1971 (P.L.313, No.78),
12 entitled "An act providing for elimination of discriminatory
13 provisions relating to compensation for services and treatment
14 under sickness and accident insurance contracts and providing
15 for nondiscriminatory reimbursement of sickness and bodily
16 injury claims thereunder," is amended by adding a section to
17 read:
18 Section 1.1. Any company offering accident or health
19 insurance within this Commonwealth may not reject any part of
20 any claim properly made under the policy unless a like licensed
1 individual has reviewed the claim and found the treatment
2 provided to be unnecessary.
3 Section 2. This act shall take effect in 60 days.
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