Official Summary

Digest: This Act makes changes to the claims process for health care providers and insurers and makes changes to the rules for reports, utilization review and information that must be given by some carriers for behavioral health care services. This Act also adds a new member to the HIEAC. This Act creates a new ombudsman. This Act makes it an emergency. (Flesch Readability Score: 61.8). Modifies requirements for certain claims processes for health care providers and insurers. Modifies requirements for utilization review for behavioral health care providers. Adds information carriers that provide behavioral health benefits must report to the Department of Consumer and Business Services in the yearly report. Establishes certain information these carriers that conduct medical management techniques must provide to behavioral health care providers in writing. Adds a representative of behavioral health care providers as one of the members who must be appointed to the Health Insurance Exchange Advisory Committee. Establishes the Mental Health Parity Ombudsman in the Department of Consumer and Business Services and appropriates moneys to the department. Declares an emergency, effective on passage.