as introduced - 79th Legislature (1995 - 1996) Posted on 12/15/2009 12:00am
1.1 A bill for an act 1.2 relating to health; MinnesotaCare; specifying the type 1.3 of health care professional that must be involved in 1.4 certain denials of access; amending Minnesota Statutes 1.5 1994, section 62Q.12. 1.6 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.7 Section 1. Minnesota Statutes 1994, section 62Q.12, is 1.8 amended to read: 1.9 62Q.12 [DENIAL OF ACCESS.] 1.10 No health plan company may deny access to a covered health 1.11 care service unless the denial is made by, or under the 1.12 direction of, or subject to the review of a health care 1.13 professional licensed to provide the service in question. If a 1.14 covered health care service is recommended by a physician, a 1.15 denial of access permitted by this section must be made by, or 1.16 under the direction of, or subject to review by a physician. 1.17 For purposes of this section, "physician" means a person 1.18 licensed to practice medicine under chapter 147, a person 1.19 licensed to practice osteopathy under Minnesota Statutes 1961, 1.20 sections 148.11 to 148.16, or a person licensed to practice 1.21 medicine or osteopathy under the laws of another state. 1.22 Sec. 2. [EFFECTIVE DATE.] 1.23 Section 1 is effective July 1, 1995, and applies to any 1.24 request for access made on or after that date.