Amendment No. 266

 

Assembly Amendment to Assembly Bill No. 79  First Reprint                                              (BDR 57‑955)

Proposed by: Committee on Commerce and Labor

Amendment Box: Replaces Amendment No. 213.

Resolves Conflicts with: N/A

Amends:         Summary:               Title:               Preamble:               Joint Sponsorship:

 

Adoption of this amendment will MAINTAIN a 2/3s majority vote requirement for final passage of AB79 R1 (§ 2).

 

ASSEMBLY ACTION              Initial and Date              |SENATE ACTION                        Initial and Date

       Adopted       Lost                                               |          Adopted       Lost                                           

Concurred In                     Not                                                        |Concurred In  Not                                       

       Receded        Not                                               |         Receded        Not                                           

 

     Amend sec. 16,  page 10, by deleting lines 40 through 42 and inserting:

“a managed care organization to deny all or part of a service or procedure that is proposed or being provided to an insured on the basis that it is not medically necessary or appropriate or is”.

     Amend sec. 26, page 14, by deleting lines 34 through 37 and inserting:

     “Sec. 26.  1.  If the determination of an external review organization concerning an external review of a final adverse determination is in favor of the insured, the determination is final, conclusive and binding upon the managed care organization.”.

     Amend sec. 28, page 15, by deleting lines 25 though 27 and inserting:

     “(a) Upheld during the immediately preceding year.

     (b) Reversed during the immediately preceding year.”.