RELATING TO MEDICAID THIRD PARTY LIABILITY.

Insurers must respond to state inquiries about health care claims within 60 calendar days when claims are submitted within three years of service provision.

Insurers cannot deny claims solely based on submission date, claim form type, or lack of proper documentation at point-of-sale.

Insurers must accept prior authorization provided by the state medical assistance program as valid when a responsible third party requires prior authorization.

State enforcement actions must be commenced within six years of submitting the claim.

Minor formatting and text cleanup changes throughout the document.

Added requirement that insurers must respond to state inquiries about health care claims within sixty calendar days of receiving the inquiry.

Modified conditions under which insurers cannot deny claims, specifically addressing prior authorization failures and adding a six-year enforcement window for state actions.

Changed the effective date from July 1, 3000 to upon approval of the bill, making the law immediately effective.

Updated references to specify 'division P' of the Consolidated Appropriations Act of 2022 and adjusted formatting of statutory citations.

Health insurers must respond to state inquiries about health care claims within 60 days of receiving the inquiry, rather than within 3 years of service provision.

Insurers cannot deny claims solely based on missing prior authorization when the claim is submitted within 3 years of service and enforcement action is started within 6 years of submission.

The bill's effective date was changed from 'upon approval' to July 1, 3000, which appears to be a placeholder date that will likely be corrected before enactment.

Formatting and markup changes were made to convert the bill from a draft version to a House Draft version, including changes to section numbering and text presentation.