Text: H01184 Text: H01186 Text: H01100 - H01199 Text: H Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Amend Senate File 276, as amended, passed, and
1 2 reprinted by the Senate, as follows:
1 3 #1. Page 7, line 18, by inserting after the word
1 4 "under" the following: "the carrier or organized
1 5 delivery systems internal review process, if any, and
1 6 under".
1 7 #2. Page 7, line 19, by inserting after the word
1 8 "process." the following: "The carrier or organized
1 9 delivery system's internal review process shall be
1 10 completed within fourteen days of a request for
1 11 internal review."
1 12 #3. Page 9, by striking lines 29 through 31 and
1 13 inserting the following:
1 14 "1. The commissioner, at the time the commissioner
1 15 determines that a request is eligible for external
1 16 review, shall do all of the".
1 17 #4. Page 10, line 5, by inserting after the word
1 18 "member." the following: "The independent review
1 19 entity or an individual who is part of an independent
1 20 review entity shall not have ever received more than
1 21 one percent of the entity's or individual's gross
1 22 annual income for any tax year from the carrier or
1 23 organized delivery system."
1 24 #5. Page 10, line 6, by striking the word "and".
1 25 #6. Page 10, line 7, by inserting after the word
1 26 "provider," the following: "and the carrier or
1 27 organized delivery system,".
1 28 #7. Page 10, by striking lines 8 through 13 and
1 29 inserting the following: "independent review entity
1 30 and of the enrollee's, treating health care
1 31 provider's, and carrier's or organized delivery
1 32 system's right to submit additional information. The
1 33 enrollee, the enrollee's treating health care provider
1 34 acting on behalf of the enrollee, or the carrier or
1 35 organized delivery system may object to the
1 36 independent review entity selected by the commissioner
1 37 by notifying the commissioner within three".
1 38 #8. Page 10, by striking line 22 and inserting the
1 39 following:
1 40 "1A. The carrier or organized delivery system,
1 41 within three business days of notification of an
1 42 independent review, shall do the following:
1 43 a. Provide the independent review entity with any
1 44 information submitted to the carrier or".
1 45 #9. Page 10, by striking line 27 and inserting the
1 46 following:
1 47 "b. Provide the independent review entity, the
1 48 enrollee, and enrollee's treating health care provider
1 49 with any other relevant documents used by the".
1 50 #10. Page 11, line 3, by inserting after the word
2 1 "entity" the following: ", unless good cause can be
2 2 shown for the failure to provide the information
2 3 within the ten-day period".
2 4 #11. Page 11, line 11, by inserting after the word
2 5 "entity" the following: ", unless good cause can be
2 6 shown for the failure to provide the information
2 7 within the ten-day period".
2 8 #12. Page 11, line 24, by inserting after the word
2 9 "conducted" the following: ", and a decision
2 10 submitted,".
2 11 #13. By renumbering as necessary.
2 12
2 13
2 14
2 15 OSTERHAUS of Jackson
2 16
2 17
2 18
2 19 CHAPMAN of Linn
2 20 SF 276.209 78
2 21 mj/gg
Text: H01184 Text: H01186 Text: H01100 - H01199 Text: H Index Bills and Amendments: General Index Bill History: General Index
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