Health care services; peer utilization reviews on reconsideration of an adverse decision. (HB11)
Introduced By
Del. Bob Marshall (R-Manassas)
Progress
✓ |
Introduced |
✓ |
Passed Committee |
✓ |
Passed House |
✓ |
Passed Senate |
✓ |
Signed by Governor |
☐ |
Became Law |
Description
Health services; peer utilization reviews. Requires that a decision on reconsideration of an adverse decision in which it is determined that a health service was or is not medically necessary, and which may result in noncoverage of a health service, be made by a peer of the treating health care provider. Physician advisors and panels of other appropriate health care providers will no longer be permitted to decide requests for reconsideration. If the denied health service was recommended by a doctor of medicine, a peer of the treating health care provider shall be a physician who holds a nonrestricted license to practice medicine in the Commonwealth or under a comparable licensing law of another state and who maintains the same or similar scope of practice or specialty or subspecialty as the treating health care provider. Read the Bill »
Outcome
History
Date | Action |
---|---|
12/07/2009 | Committee |
12/07/2009 | Prefiled and ordered printed; offered 01/13/10 10100496D |
12/07/2009 | Referred to Committee on Health, Welfare and Institutions |
01/20/2010 | Assigned HWI sub: #1 |
02/01/2010 | Impact statement from SCC (HB11) |
02/01/2010 | Subcommittee recommends reporting (4-Y 2-N) |
02/11/2010 | Reported from Health, Welfare and Institutions with substitute (22-Y 0-N) (see vote tally) |
02/11/2010 | Committee substitute printed 10105299D-H1 |
02/12/2010 | Read first time |
02/15/2010 | Read second time |
02/15/2010 | Committee substitute agreed to 10105299D-H1 |
02/15/2010 | Engrossed by House - committee substitute HB11H1 |
02/16/2010 | Read third time and passed House BLOCK VOTE (99-Y 0-N) |
02/16/2010 | VOTE: BLOCK VOTE PASSAGE (99-Y 0-N) (see vote tally) |
02/17/2010 | Constitutional reading dispensed |
02/17/2010 | Referred to Committee on Education and Health |
02/25/2010 | Reported from Education and Health (15-Y 0-N) (see vote tally) |
02/26/2010 | Constitutional reading dispensed (38-Y 0-N) (see vote tally) |
03/01/2010 | Read third time |
03/01/2010 | Passed Senate (40-Y 0-N) (see vote tally) |
03/09/2010 | Enrolled |
03/09/2010 | Bill text as passed House and Senate (HB11ER) |
03/09/2010 | Signed by Speaker |
03/11/2010 | Impact statement from SCC (HB11ER) |
03/11/2010 | Signed by President |
04/11/2010 | G Approved by Governor-Chapter 395 (effective 10/1/10) |
04/11/2010 | G Acts of Assembly Chapter text (CHAP0395) |
Comments
What woudl be the practical effect of this?