March 29, 2009
SB 61 requires any internal review, independent medical examination, or utilization review of workers' compensation, property/casualty insurance, and health insurance be conducted by a licensed doctor who has appropriate expertise in the “same or similar specialties” as would typically manage the case being reviewed. The bill also requires written denials of benefits to identify the health-care professional on whose opinion the denial is based.
The proposed legislation is scheduled for a public hearing on Monday, March 30 at 1:30 p.m. (MDT) in room LSB-A.
NAMIC opposes the bill and has personally asked members of the House Health and Human Services Committee to VOTE “NO” on SB 61 for the following reasons:
NAMIC requests that its member companies writing insurance in Colorado encourage their employees, insurance producers, and policyholders to contact members of the House Health and Human Services Committee before the public hearing Monday afternoon to express their concerns with SB 61.
The recent proposed amendment to the bill (L015) does not address ANY of the insurance industry’s concerns, as the bill’s sponsor has alleged; all the amendment does is resolve the Constitutional Law Commerce Clause problem that existed in the bill as a result of the previous requirement that the doctor involved in the utilization review, claims denial, and coverage determination be a doctor licensed in Colorado.
Emails may be sent to House Health and Human Services Committee Members:
Direct questions to NAMIC State Affairs Manager Christian J. Rataj at email@example.com.