An Act Requiring The Health Care Cabinet To Report On The Feasibility Of Regulating Stop Loss Insurance Policies Used In Conjunction With Health Plans As Fully Insured Health Plans.
Impact
Should SB 836 pass, it would require amendments to existing statutes regarding health insurance policies, particularly focusing on the regulation of stop loss insurance. This could lead to increased oversight of such policies, ensuring that they meet the standards set forth by the Affordable Care Act and provide adequate protections for consumers. The move to regulate stop loss insurance more stringently could significantly alter the landscape of health insurance offerings, potentially increasing the compliance burdens on insurers but also enhancing consumer protections.
Summary
Senate Bill 836, introduced by Senator Looney, mandates the Health Care Cabinet to assess the feasibility of regulating stop loss insurance policies as fully insured health plans. This bill aims to enhance oversight and ensure that these insurance policies align with the protections offered under the Affordable Care Act, thereby safeguarding patients and policyholders from potentially inadequate coverage. The requirement for invitational hearings signifies an attempt to gather comprehensive stakeholder input on the issue, marking an important step toward informed legislation.
Contention
The discussions surrounding SB 836 may evoke differing opinions on the regulation of stop loss insurance. Proponents argue that enhanced regulations would protect vulnerable patients from deceptive policies that do not adequately cover their healthcare needs. On the other hand, some industry stakeholders may perceive this move as an excessive bureaucratic hurdle that could lead to increased insurance costs, ultimately making it harder for smaller health plans to remain competitive. The balance between regulatory oversight and maintaining a competitive health insurance market will likely be a central theme in the legislative discourse.
An Act Prohibiting Health Insurers From Automatically Down-coding Health Insurance Claims And Requiring That Health Insurers Provide Justification For Down-coding A Health Insurance Claim.
An Act Establishing A Task Force To Study The Prior Authorization Process By Health Insurers For Health Insurance Policies Issued In This State In The Preceding Ten Years.