SB1281 - Tennessee - Health Care, Insurance, Health, Accident, Medical Occupations

Insurance, Health, Accident - Prohibits health insurers from subsequently rescinding or modifying pre-authorization given to a medical provider for an approved procedure or denying the authorized payment for such service after the provider renders the service in good faith and pursuant to the authorization, except for payments made as a result of the provider's misrepresentation or fraud. - Amends TCA Title 56.

Increase State Expenditures - Exceeds $36,000 Other Fiscal Impact - Increase Federal Expenditures - Exceeds $64,000 Potential Impact on Health Insurance Premiums (required by Tenn. Code Ann. § 3-2-111): Such legislation will have a significant impact on the cost of health insurance premiums if health insurers are not allowed to modify authorized procedures if claims are filed improperly or if a change in the insureds medical condition no longer justifies the service. Such is estimated to exceed $100,000.