AI Analysis – Experimental
The bill mandates the submission of necessary records for review, penalizes the submission of false information as fraud, and establishes criteria and procedures for utilization review, including the appeal process for disputes over the reasonableness of costs. It further specifies that appeals on cost determinations must be made within a year of payment receipt, and insurers must disclose their payment methodology, adjusted according to Medicare, upon appeal.
Introduced in the House
June 28, 2023
Introduced
by
Rep. Julie Rogers (D-41)
and 56 co-sponsors
Co-sponsored by Reps.
Kelly Breen (D-21), Samantha Steckloff (D-19), Matt Koleszar (D-22), Ranjeev Puri (D-24), Mike McFall (D-8), Felicia Brabec (D-33), Julie Brixie (D-73), Cynthia Neeley (D-70), Phil Green (R-67), Kristian Grant (D-82), Laurie Pohutsky (D-17), Jim Haadsma (D-44), Doug Wozniak (R-59), Jasper Martus (D-69), Jaime Churches (D-27), Christine Morse (D-40), Regina Weiss (D-6), Rachel Hood (D-81), John Roth (R-104), Veronica Paiz (D-11), Kara Hope (D-74), Jimmie Wilson (D-32), Jason Morgan (D-23), Alabas Farhat (D-3), Erin Byrnes (D-15), Emily Dievendorf (D-77), Tyrone Carter (D-1), Noah Arbit (D-20), Sharon MacDonell (D-56), Jennifer Conlin (D-48), Phil Skaggs (D-80), Betsy Coffia (D-103), Carrie Rheingans (D-47), Joey Andrews (D-38), Will Snyder (D-87), Penelope Tsernoglou (D-75), Helena Scott (D-7), Carol Glanville (D-84), Natalie Price (D-5), David Martin (R-68), Jenn Hill (D-109), Donavan McKinney (D-14), Dylan Wegela (D-26), Jason Hoskins (D-18), Reggie Miller (D-31), Lori Stone (D-13), Tullio Liberati (D-2), Curtis VanderWall (R-102), Amos O’Neal (D-94), Abraham Aiyash (D-9), Brian BeGole (R-71), Ken Borton (R-105), Kimberly Edwards (D-12), Stephanie Young (D-16), Dale Zorn (R-34) and Luke Meerman (R-89)
Referred to the Committee on Insurance and Financial Services
