Modifying certain provisions under Minnesota utilization review act; requiring
physicians conducting review to be licensed in the state and currently
practicing in the same specialty as the physician ordering care; requiring
physician consultants to be certified by the American board of medical
specialists or the American board of osteopathy; requiring utilization review
organizations to file annual reports with the commissioner of commerce,
specifying report content requirements; requiring criteria used to determine
medical necessity to be provided to the commissioner; expanding the definition
of the practice of medicine to include persons making determination of medical
necessity for covered services based on clinical information (rla)