SB22-156
Medicaid Prior Authorization And Recovery Of Payment
| Type | Bill |
|---|---|
| Session | 2022 Regular Session |
| Subjects |
Concerning placing limitations on prepaid inpatient health plans, and, in connection therewith, removing prior authorization for outpatient psychotherapy and limiting when a prepaid inpatient health plan can retroactively recover provider payments.
Bill Summary:
The act prohibits a prepaid inpatient health plan from:
- Requiring prior authorization for outpatient psychotherapy services;
- Retroactively recovering provider payments if a recipient was initially determined to be eligible for medical benefits or the prepaid inpatient health plan makes an error processing the claim but the claim is otherwise accurately submitted by the provider; and
- Retroactively recovering provider payments after 12 months from the date a claim was paid, except in certain circumstances.
If a prepaid inpatient health plan retroactively recovers a provider payment that is equal to or greater than $1,000, the act requires the prepaid inpatient health plan to work with the provider to develop a payment plan if the provider requests a payment plan.
(Note: This summary applies to this bill as enacted.)
Related Documents & Information
| Date | Version | Documents |
|---|---|---|
| 04/05/2022 | PA1 |
| Activity | Vote | Documents |
|---|---|---|
| Refer Senate Bill 22-156 to the Committee of the Whole. | The motion passed on a vote of 11-0. | Vote summary |
| Activity | Vote | Documents |
|---|---|---|
| Adopt amendment L.001 (Attachment C). | The motion passed without objection. | Vote summary |
| Refer Senate Bill 22-156, as amended, to the Committee of the Whole and with a recommendation that it be placed on the consent calendar. | The motion passed on a vote of 6-0. | Vote summary |
| Date | Calendar | Motion | Vote | Vote Document |
|---|---|---|---|---|
| 04/26/2022 | Third Reading | BILL |
60
AYE
4
NO
1
OTHER
|
Vote record |
| Date | Calendar | Motion | Vote | Vote Document |
|---|---|---|---|---|
| 04/07/2022 | Third Reading | BILL |
33
AYE
1
NO
1
OTHER
|
Vote record |
| Date | Amendment Number | Committee/ Floor Hearing | Status | Documents |
|---|---|---|---|---|
| 04/04/2022 | L.001 | SEN Health & Human Services | Passed [*] |
| Date | Location | Action |
|---|---|---|
| 05/06/2022 | Governor | Governor Signed |
| 04/28/2022 | Governor | Sent to the Governor |
| 04/28/2022 | House | Signed by the Speaker of the House |
| 04/28/2022 | Senate | Signed by the President of the Senate |
| 04/26/2022 | House | House Third Reading Passed - No Amendments |
| 04/25/2022 | House | House Third Reading Laid Over Daily - No Amendments |
| 04/22/2022 | House | House Second Reading Special Order - Passed - No Amendments |
| 04/21/2022 | House | House Second Reading Special Order - Laid Over Daily - No Amendments |
| 04/20/2022 | House | House Committee on Health & Insurance Refer Unamended to House Committee of the Whole |
| 04/07/2022 | House | Introduced In House - Assigned to Health & Insurance |
| 04/07/2022 | Senate | Senate Third Reading Passed - No Amendments |
| 04/06/2022 | Senate | Senate Second Reading Special Order - Passed with Amendments - Committee |
| 04/04/2022 | Senate | Senate Committee on Health & Human Services Refer Amended - Consent Calendar to Senate Committee of the Whole |
| 03/15/2022 | Senate | Introduced In Senate - Assigned to Health & Human Services |
Prime Sponsor
Sponsor
(None)
Co-Sponsor
| Effective Date | Chapter # | Title | Documents |
|---|---|---|---|
| 01/01/2023 | 153 | Medicaid Prior Authorization & Recovery Of Payment |