2359-S AMH REYK ELGE 239

SHB 2359 - H AMD 1048

By Representative Reykdal

    On page 3, beginning on line 29, after "network" strike all material through "ordered by" on line 32 and insert "based on treatment provided in any specific claim that was determined to be medically necessary by final order of"

EFFECT: Provides that the Department may not remove providers from the network based on treatment in any specific claim, when that treatment was determined to be medically necessary by the Board of Industrial Insurance Appeals (Board) or a court.  (The Substitute Bill refers to removal for failure to follow coverage decisions or treatment guidelines, if the treatment or procedure was ordered by the Board or a court.)  

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