►
Description
House Insurance Subcommittee - February 1, 2022 - House Hearing Room 2
A
A
A
Please
continue
to
keep
chairman
kumar,
dr
kumar
and
his
wife,
and
your
thoughts
and
prayers
as
as
she
continues
for
her
recovery.
So
thank
you
all
very
much
and
appreciate
chair
lady
rutter,
making
that
mention
this
morning.
We'll
continue
that
in
the
afternoon
session
of
insurance
subcommittee,
we
do
have
a
calendar
before
us.
Both
bills
are
to
be
heard
today,
number
one
we'll
jump
right
into
our
calendar
house
bill
1719
by
chairman
reedy.
C
Bill
1719
will
extend
the
ground
ambulance
assessment
for
another
year
and
for
anyone,
that's
not
familiar
with
this,
which
I
bring
it
every
year,
they're
plotting
right!
Now
I
see
it.
The
ground
ambulance
assessment
was
created
in
2018
to
help
fill
the
gap
between
the
expense
incurred
by
ambulance
services
to
perform
a
transport
and
what
medicaid
reimbursements
for
this
transport
without
using
any
state
dollars.
The
ground
ambulance
service
pays
into
the
fund
that
draws
down
over
20
million
in
federal
funds
that
is
then
paid
back
out
to
the
services
based
on
their
medicaid
transports.
A
A
The
question
is
has
been
removed,
call
for
the
question
has
been
removed.
Chairman
supiki,
you
are
recognized.
D
D
A
Thank
you
very
much,
seeing
no
further
questions
or
comments.
We
are
voting
on
house
bill
1719
to
send
a
full
insurance
committee.
All
those
in
favor,
please
signify
by
saying
aye
aye
any
opposed.
Please
say
no.
The
ice
hatchery
bill
moves
forward.
Thank
you.
A
E
In
a
second
thank
you,
chairman
and
committee,
in
currently
in
the
the
tennessee
code,
annotated
emergency
services
cannot
be
denied
anyone
where
they're
seeking
help
inside
the
confines
of
a
hospital,
and
as
we
understand
there
are
several
areas
within
our
state
and
even
with
my
own
district,
there
are
aspects
of
emergency
care
that
are
very
difficult
to
reach.
E
This
simply
adds
to
the
definition
of
emergency
services,
the
inclusion
of
a
satellite
emergency
department
facility,
a
freestanding
emergency
room,
an
urgency
care
center
or
a
physician's
office,
and
the
intention
of
this
bill
is
very
simple.
Let's
say
that
we're
in
jamestown
tennessee
and
a
a
woman
has
chest
pain
and
there's
not
a
hospital
close
by,
so
she
goes
to
her
urgent
care
center.
She
is
convinced,
through
headaches,
through
chest,
pain
through
symptoms
that
she's
been
taught
mimic
a
heart
attack
that
she's
experiencing
some
type
of
a
cardiac
event.
E
She
presents
the
physician
at
the
urgent
care
center
looks
at
her
indeed
wants
to
perform
the
the
the
diagnostic
you
know,
testing,
whether
it
be
an
ekg,
some
lab
work,
things
such
as
that
and
and
then,
when
the
bill
comes,
because
the
doctor
diagnosed
her
with
esophageal
reflux
and
has
denied
they
based
their
coverage
only
on
the
end
diagnostic
diagnosis
and
not
the
prevailing
symptoms.
This
simply
adds
to
the
current
code
and
includes
these
other
sites
that
an
insurance
company
cannot
deny
care
nor
rescind
care
in
coverage,
and
so
this
is.
E
This
is
not
adding
a
mandate.
That's
in
code,
we
already
have
section
in
in
56,
7
2,
23,
section
eight
b,
and
one
and
two
it
has
this
language,
the
mandate.
This
only
expands
it
to
the
urgent
care
areas
and
with
that,
mr
chairman
I'll
be
happy
to
answer
any
questions
that
you
have
and
would
love
to
ask
the
committee
for
its
support.
A
F
I
just
need
some
well
probably
you'll
have
to
research
this
afterwards,
but
I
plan
on
voting
this
forward,
but
before
this
goes
to
full
committee,
the
issue
was
brought
up
earlier
in
full
committee
today
about
balance
billing
and
surprise
billing,
and
one
issue
at
hand
has
to
do
with
if
somebody's
out
of
network
for
a
facility's
out
of
network
and
they're,
they
end
up
wanting
to
give
them
the
whole
bill
from
an
emergency
room,
and
this
would
extend
that
to
other
facilities,
and
my
understanding
is
that
those
that
are
under
the
affordable
care
act
plans.
F
E
Chairman
to
to
the
other
chairman's
point,
I'm
not
certain
again.
The
the
only
intent
of
this
bill
is
to
prevent
a
surprise
or
balance
bill,
because
if,
if
a
patient
believes
they
are
having
an
emergency
situation,
then
they
should
fall
under
this
emergency
services.
E
Definition,
meaning
that
the
care
should
not
be
denied,
nor
should
it
be
rescinded
after
it's
delivered,
and
so
the
the
intent
is
to
prevent
a
surprise
or
balance
bill
from
occurring,
and
I
will
do
research
and
inquire,
particularly
as
it
relates
to
the
affordable
care
act,
because
that
brings
in
cms
and
the
the
federal
government
rules
but
happy
to
do
that.
But
I
would
still
ask
for
your
support.
Sir.
Thank.