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

Bill Has Passed

History

DateAction
12/07/2009Committee
12/07/2009Prefiled and ordered printed; offered 01/13/10 10100496D
12/07/2009Referred to Committee on Health, Welfare and Institutions
01/20/2010Assigned HWI sub: #1
02/01/2010Impact statement from SCC (HB11)
02/01/2010Subcommittee recommends reporting (4-Y 2-N)
02/11/2010Reported from Health, Welfare and Institutions with substitute (22-Y 0-N) (see vote tally)
02/11/2010Committee substitute printed 10105299D-H1
02/12/2010Read first time
02/15/2010Read second time
02/15/2010Committee substitute agreed to 10105299D-H1
02/15/2010Engrossed by House - committee substitute HB11H1
02/16/2010Read third time and passed House BLOCK VOTE (99-Y 0-N)
02/16/2010VOTE: BLOCK VOTE PASSAGE (99-Y 0-N) (see vote tally)
02/17/2010Constitutional reading dispensed
02/17/2010Referred to Committee on Education and Health
02/25/2010Reported from Education and Health (15-Y 0-N) (see vote tally)
02/26/2010Constitutional reading dispensed (38-Y 0-N) (see vote tally)
03/01/2010Read third time
03/01/2010Passed Senate (40-Y 0-N) (see vote tally)
03/09/2010Enrolled
03/09/2010Bill text as passed House and Senate (HB11ER)
03/09/2010Signed by Speaker
03/11/2010Impact statement from SCC (HB11ER)
03/11/2010Signed by President
04/11/2010G Approved by Governor-Chapter 395 (effective 10/1/10)
04/11/2010G Acts of Assembly Chapter text (CHAP0395)

Comments

robert legge writes:

What woudl be the practical effect of this?