SB 365-1_ Filed 02/08/2001, 09:50
Adopted 2/8/2001

COMMITTEE REPORT

MR. PRESIDENT:

    The Senate Committee on Health and Provider Services, to which was referred Senate Bill No. 365, has had the same under consideration and begs leave to report the same back to the Senate with the recommendation that said bill be AMENDED as follows:

SOURCE: Page 1, line 3; (01)CR036501.1. -->     Page 1, line 3, after "enrollee" insert " or a provider of record".
    Page 3, line 23, delete "the".
    Page 3, line 24, delete "appropriateness or medical necessity of health care" and insert " a determination that a proposed service is not appropriate or medically necessary;".
    Page 3, delete line 25, begin a new line block indented and insert:
        " (2) a determination that a proposed service is experimental or investigational;".
    Page 3, line 26, delete "(2)" and insert " (3) the".
    Page 3, line 27, delete "(3)" and insert " (4) the".
    Page 3, line 28, delete "(4)" and insert " (5)".
    Page 5, line 8, delete "three (3)" and insert five (5)".
    Page 6, line 11, delete "three (3)" and insert five (5)".
    Page 6, line 28, after "section 6(1)" insert " or 6(2)".
    Page 6, line 33, delete "the same" and insert " a".
    Page 6, line 33, delete "as the provider who" and insert " that is related to".
    Page 6, line 34, delete "proposed, denied, or delivered".
    Page 6, line 35, delete ";" and insert " that was proposed, denied, or delivered;".


    Page 8, between lines 26 and 27, begin a new paragraph and insert:
    " Sec. 9. As used in this chapter, "health care provider" means a person:
        (1) that provides physician services (as defined in IC 12-15-11-1 (a)); or
        (2) who is licensed under IC 25-33.
".
    Page 8, line 27, delete "9." and insert " 10.".
    Page 8, line 29, delete "10." and insert " 11.".
    Page 8, line 31, delete "11." and insert " 12.".
    Page 8, line 39, delete "physician." and insert " health care provider.".
    Page 8, line 40, delete "12." and insert " 13.".
    Page 8, line 41, delete "11" and insert " 12".
    Page 9, line 8, delete "that" and insert " if the time frame for a standard review".
    Page 9, line 21, delete "18" and insert " 19".
    Page 9, line 36, delete "physician" and insert " health care provider".
    Page 9, line 36, delete "physician's" and insert " health care provider's".
    Page 9, line 41, delete "physician" and insert " health care provider".
    Page 10, line 6, delete "13." and insert " 14.".
    Page 10, line 11, delete "physicians," and insert " health care providers,".
    Page 10, line 20, delete "12(b)" and insert " 13(b)".
    Page 10, line 23, delete "14." and insert " 15.".
    Page 10, line 25, delete "12(a)(2)(A)" and insert " 13(a)(2)(A)".
    Page 10, line 25, delete "seventy-two (72) hours" and insert " three (3) business days".
    Page 10, line 27, delete "12(a)(2)(B)" and insert " 13(a)(2)(B)".
    Page 10, line 33, delete "physician" and insert " health care provider".
    Page 11, line 4, delete "12(a)(2)(A)" and insert " 13(a)(2)(A)".
    Page 11, line 7, delete "12(a)(2)(B)" and insert " 13(a)(2)(B)".
    Page 11, line 9, delete "15." and insert " 16.".
    Page 11, line 9, delete "14" and insert " 15".
    Page 11, line 11, delete "16." and insert " 17.".
    Page 11, line 16, delete "shall" and insert " may".
    Page 11, line 18, after "(2)" insert " if the insurer chooses to reconsider,".
    Page 11, line 21, delete "An" and insert " If the insurer reconsiders under subsection (a)(1), an".
    Page 11, line 33, after "If" delete "the" and insert " a".
    Page 11, between lines 36 and 37, begin a new paragraph and insert:
    " (d) If an insurer to which information is submitted under subsection (a) chooses not to reconsider the insurer's resolution under IC 27-8-28-17 , the insurer shall forward the submitted information to the independent review organization within two (2) business days after the insurer's receipt of the information.".
    Page 11, line 37, delete "17." and insert " 18.".
    Page 11, line 41, delete "18." and insert " 19.".
    Page 13, line 21, delete "19." and insert " 20.".
    Page 13, line 21, delete "18(g)" and insert " 19(g)".
    Page 13, line 30, delete "20." and insert " 21.".
    Page 14, line 8, delete "21." and insert " 22.".
    Page 14, line 17, delete "22." and insert " 23.".
    Page 14, line 21, delete "23." and insert " 24.".
    Page 14, line 25, delete "IC 27-8-29-21" and insert " IC 27-8-29-22".
    Page 14, line 28, delete "IC 27-8-29-20," and insert " IC 27-8-29-21,".
    Page 14, line 29, delete "IC 27-8-29-20," and insert " IC 27-8-29-21,".
    (Reference is to SB 365 as introduced.)

and when so amended that said bill do pass.

Committee Vote: Yeas 8, Nays 0.

____________________________________

    Miller
Chairperson


CR036501/DI 98    2001