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08/17/2022 08:49 PM
Pennsylvania General Assembly
https://www.legis.state.pa.us/cfdocs/billinfo/billinfo.cfm?syear=2021&sInd=0&body=S&type=B&bn=225
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Bill Information

Regular Session 2021-2022
Senate Bill 225


Short Title:
An Act amending the act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, in quality health care accountability and protection, further providing for definitions, for responsibilities of managed care plans, for financial incentives prohibition, for medical gag clause prohibition, for emergency services, for continuity of care, providing for medication assisted treatment, further providing for procedures, for confidentiality, for required disclosure, providing for medical policy and clinical review criteria adopted by insurer, MCO or contractor, further providing for internal complaint process, for appeal of complaint, for complaint resolution, for certification, for operational standards, providing for step therapy considerations, for prior authorization review and for provider portal, further providing for internal grievances process, for records, for external grievance process, for prompt payment of claims, for health care provider and managed care plan, for departmental powers and duties, for penalties and sanctions, for compliance with National Accrediting Standards; and making editorial changes.
Prime Sponsor:
Last Action:
Referred to INSURANCE, June 30, 2022 [House]
Printer's No.:
Printer's No. Text (H) Amendments (S) Amendments (H) Fiscal Note (S) Fiscal Note Actuarial Note
1837*
1809
948
453
* denotes current Printer's Number
Statute References :

This bill amends the act of May 17, 1921 (P.L.0682, No.0284), known as the "Insurance Company Law Of 1921, The". Other bills that also amend the same statute are listed below.