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H 1132

An Act relative to external reviews and patient protection

194th Legislature (2025-2026) Introduced by Marjorie Decker and 1 co-sponsor

Overview: H 1132, "An Act relative to external reviews and patient protection", was introduced on February 27, 2025. A hearing on the bill has been scheduled for October 1, 2025 fr

Reporting date extended to Thursday, December 31, 2026
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Bill Summary · H 1132

Overview: H 1132, "An Act relative to external reviews and patient protection", was introduced on February 27, 2025. A hearing on the bill has been scheduled for October 1, 2025 from 10:30 AM to 1:00 PM in room B-1.

Purpose and Intent: The main purpose of this bill is to establish new requirements and protections related to external reviews of health insurance coverage decisions. The intent is to ensure that patients have access to an independent, impartial review process when their insurance coverage is denied.

Key Provisions:
- Requires health insurers to provide clear and accessible information about the external review process
- Establishes timelines and procedures for conducting external reviews
- Prohibits insurers from taking retaliatory action against providers who assist patients in seeking external reviews

Affected Parties and Impacts:
- Patients who have their health insurance coverage denied will be able to request an external review
- Health insurers will be required to comply with the new external review requirements
- Healthcare providers may play a role in helping patients navigate the external review process

Procedural and Timeline Considerations:
- The bill is currently scheduled for a hearing on October 1, 2025
- After the hearing, the bill will likely proceed through the legislative committee process and potentially be voted on by the full legislature

Compiled from official sources — confirm details with the bill’s official record.

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