Amendment #12 to H.3452

Consumer Remedies Available after External Review

Ms. Khan of Newton move that the bill be amended by striking out Section 71 and inserting in place thereof the following section:–

SECTION 71. Said section 14 of said chapter 1760, as so appearing, is hereby further amended by inserting after the word "binding", in line 40, the following words:- on the insured and on the carrier, except to the extent other remedies are available under State or Federal law, and except that the requirement that the decision be binding shall not preclude the plan or issuer from making payment on the claim or otherwise providing benefits at any time, including after a final external review decision that denies the claim or otherwise fails to require such payment or benefits.
Additional Cosponsors
Kay Khan