The bill amends existing laws related to unprofessional conduct for medical practitioners and the prompt processing of claims by healthcare entities. It introduces a new definition of "unprofessional conduct" in Section 5-37-5.1, which includes failing to submit medical bills to a health insurer solely because the bill may arise from a third-party claim or incident, other than a workers' compensation claim pursuant to chapter 33 of title 28.

Additionally, the bill revises Sections 27-18-61, 27-19-52, 27-20-47, and 27-41-64 to prohibit healthcare entities and health plans from denying a claim for payment of any medical bill based solely on the reason that the bill may have arisen from a third-party claim or incident, other than a workers' compensation claim. The act aims to ensure that claims are processed promptly and fairly, reinforcing accountability in billing practices.

The bill takes effect upon passage.

Statutes affected:
5561: 5-37-5.1, 27-18-61, 27-19-52, 27-20-47, 27-41-64