Proposed S.B. No. 1010
Session Year 2025

AN ACT CONCERNING THE BURDEN OF PROOF DURING ADVERSE DETERMINATION AND UTILIZATION REVIEW.

To establish a rebuttable presumption that health carriers shall bear the burden of proving that certain health care services under adverse determination or utilization review are not medically necessary.

Other Bills with Similar Topics

  Utilization review 

 

• HB06895 - AN ACT CONCERNING HEALTH BENEFIT REVIEW AND REQUIRING HEALTH INSURANCE COVERAGE FOR BIOMARKER TESTING.
• HB07040 - AN ACT REQUIRING A STUDY OF HEALTH CARRIER COVERAGE GUIDELINES, UTILIZATION REVIEW AND COVERAGE FOR LIFE-SAVING MEDICAL TREATMENT OR SERVICES.
• SB00010 - AN ACT CONCERNING HEALTH INSURANCE AND PATIENT PROTECTION.
• SB01044 - AN ACT CONCERNING ADVERSE DETERMINATION AND UTILIZATION REVIEWS.

  Adverse events (medical) 

 

• SB00010 - AN ACT CONCERNING HEALTH INSURANCE AND PATIENT PROTECTION.
• SB01044 - AN ACT CONCERNING ADVERSE DETERMINATION AND UTILIZATION REVIEWS.
• SB01210 - AN ACT REQUIRING HEALTH CARRIERS TO PAY A CIVIL PENALTY FOR ADVERSE DETERMINATION REVERSALS.

  Health insurance claims denials 

 

• HB05587 - AN ACT PROHIBITING HEALTH INSURERS FROM USING ARTIFICIAL INTELLIGENCE AS THE PRIMARY METHOD TO DENY HEALTH INSURANCE CLAIMS.
• HB05590 - AN ACT PROHIBITING HEALTH INSURERS FROM USING ARTIFICIAL INTELLIGENCE TO DENY HEALTH INSURANCE CLAIMS.