The bill amends various sections of the General Laws to strengthen regulations concerning medical licensure, patient rights, and the processing of healthcare claims. It introduces new definitions and provisions regarding "unprofessional conduct" for medical practitioners, which includes actions such as refusing to submit medical bills related to motor vehicle accidents or third-party claims and failing to process requests for medical records within fourteen days. The bill establishes penalties for violations, thereby enhancing accountability among healthcare providers.

Additionally, it outlines patient rights, ensuring access to medical records and timely responses to requests for medical bills, with a requirement that medical providers fulfill record requests within fourteen days of receipt. Violation of these rights is subject to penalties.

The bill sets specific requirements for the prompt processing of insurance claims by healthcare entities and health plans. It prohibits health insurers from denying claims solely based on the association with motor vehicle accidents or other third-party claims, with exceptions for workers' compensation claims. It also mandates that no payment under a policyholder's first-party coverage can be made without the express written consent of the policyholder.

The act is designed to improve the efficiency and transparency of claims processing in the healthcare sector and is set to take effect immediately upon passage.

Statutes affected:
52: 5-37-5.1, 23-17-19.1, 27-18-61, 27-19-52, 27-20-47, 27-41-64