|
INDEX
|
|
|
|
Chapter
|
Page
|
|
Oncology drugs, reimbursement of costs to health care
|
|
|
|
practitioner, provisions altered...............................................
|
617
|
3470
|
|
Patient Protection Act, to restrict bonuses or other
|
|
|
|
incentive-based compensation provided to health care
|
|
|
|
practitioners and require health insurance carriers to give
|
|
|
|
providers a copy of reimbursement fee schedules, coding
|
|
|
|
guidelines, and reimbursement level change or bonus
|
|
|
|
determination methodology ...........................................................
|
255
|
1984
|
|
Patients' Bill of Rights Act, to establish the Insurance
|
|
|
|
Administration as consumers' single point of entry for health
|
|
|
|
insurance information, improve access to specialists and
|
|
|
|
prescription drugs not in carrier's formulary, and add mandated
|
|
|
|
benefit of home visits after mastectomy, or testicle removal ......
|
120
|
1473
|
|
Prosthesis for women who have undergone a mastectomy, coverage
|
|
|
|
requirements added .......................................................................
|
155
|
1690
|
|
Reduction of subrogation claim by payor of health care benefits or
|
|
|
|
services to injured person who recovers in a claim for personal
|
|
|
|
injury against a third party, provisions added ............................
|
590
|
3388
|
|
Refusal to pay claim for an arbitrary or capricious reason, added
|
|
|
|
as unfair claim settlement practice..............................................
|
71
|
1048
|
|
Retroactive denial of preauthorized or approved services by
|
|
|
|
private review agent, conditions narrowed; continuation of
|
|
|
|
payment of premium of member of group policy by policyholder
|
|
|
|
until notice of coverage termination is received by insurer,
|
|
|
|
requirements added..............................................................................
|
554
|
3282
|
|
Retroactive denial of reimbursement of health care providers
|
|
|
|
based on improper coding, provisions clarified............................
|
162
|
1706
|
|
Small employer health benefit plans, rate provisions altered;
|
|
|
|
report requirement repealed .........................................................
|
671
|
3698
|
|
Standard provisions that must be included in contracts and
|
|
|
|
policies, provisions altered; Task Force to Study the Non-Group
|
|
|
|
Health Insurance Market, established, and reports required ....
|
602
|
3416
|
|
State employees, appropriations to various State agency programs
|
|
|
|
for health insurance, restrictions added.......................................
|
118
|
1384
|
|
State Employees' Health Insurance Advisory Council, membership
|
|
|
|
increased .........................................................................................
|
482
|
2974
|
|
State regulation of self-funded employer-based health plans,
|
|
|
|
amendment of federal law to authorize, support for ...................
|
JR5
|
3937
|
|
|
JR6
|
3939
|
|
Stay of order of Insurance Commissioner as result of demand for
|
|
|
|
hearing, exception for orders resulting from final decision on an
|
|
|
|
appeal of an emergency case, provisions added ...........................
|
277
|
2025
|
|
Stop-loss insurance, attachment point requirements added .........
|
683
|
3760
|
|
Uniform credentialing form, use by insurance carrier or
|
|
|
|
credentialing intermediary and provision to health care
|
|
|
|
provider, requirements added........................................................
|
589
|
3385
|
|
Universal newborn hearing screening, provisions added ...............
|
127
|
1553
|
|
|
128
|
1562
|
