The bill amends various sections of the General Laws to strengthen regulations surrounding medical licensure, patient rights, and the processing of healthcare claims. It introduces new definitions and provisions regarding "unprofessional conduct" for medical practitioners, including prohibitions against refusing to submit medical bills related to motor vehicle accidents or third-party claims. Additionally, it mandates that medical records or bills be processed within fourteen days of a written request and establishes penalties for violations, thereby enhancing accountability among healthcare providers. The bill also outlines patient rights, ensuring access to medical records within fourteen days of a written request, with violations subject to penalties.
Moreover, the bill sets stricter requirements for the prompt processing of claims by healthcare entities and health plans, prohibiting the denial of claims based solely on their association with motor vehicle accidents or third-party claims, with certain exceptions for workers' compensation claims. It also prohibits health plans from making payments under a policyholder's first-party coverage without the express written consent of the policyholder. Overall, the amendments aim to improve transparency, efficiency, and accountability in the healthcare delivery and claims processing systems.
Statutes affected: 5066: 5-37-5.1, 23-17-19.1, 27-18-61, 27-19-52, 27-20-47, 27-41-64