Introduced
by
To require an HMO to allow a second opinion if an enrollee questions the reasonableness or necessity of a recommended surgical procedure, diagnosis, or plan of care for serious conditions, if the clinical indications are not clear or were complex and confusing, if a diagnosis is in doubt due to conflicting test results, if the treating health professional is unable to diagnose the condition, or if the treatment plan is not working.
Referred to the Committee on Insurance and Financial Services
