Raised Bill No. 341 Summary

• Requires health care professionals who submit urgent care requests to provide annual written notice to covered persons disclosing their right to submit a "covered person's story" to utilization review companies.

• Establishes the right for covered persons, authorized representatives, and health care professionals to submit written statements ("covered person's story") containing information for consideration during both urgent and nonurgent care utilization reviews.

• Requires health carriers to provide covered persons and authorized representatives the ability to attach or enclose the covered person's story with benefit requests.

• Mandates health carriers include in insurance policy documents and handbooks a clear description of the right to submit a covered person's story in utilization review processes.

• Effective January 1, 2021; applies to all utilization review procedures including prospective, concurrent, and retrospective reviews.