Report Title:
Relating to patients' Bill of Rights.
Description:
Allows the Insurance Commissioner to hear an external review of a health coverage dispute that is requested on an expedited basis.
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
653 |
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TWENTY-THIRD LEGISLATURE, 2005 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO THE PATIENTS' BILL OF RIGHTS AND RESPONSIBILIITES ACT.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. Section 432E-6.5, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) An enrollee may request that the following be conducted as an expedited appeal:
(1) The internal review under section 432E-5 of the enrollee's complaint; or
(2) The external review under section 432E-6 of the managed care plan's final internal determination.
If a request for expedited appeal is approved by the managed care plan or the commissioner, the appropriate review shall be completed within seventy-two hours of receipt of the request for expedited appeal. The commissioner may conduct an expedited external appeal hearing alone without appointing an external review panel; provided that the commissioner has made a reasonable effort and has failed to recruit a physician for the external review panel."
SECTION 2. New statutory material is underscored.
SECTION 3. This Act shall take effect upon approval.
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INTRODUCED BY: |
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BY REQUEST |