Ending Arbitrary Time Limits on Anesthesia Coverage by Health Insurers.
This law prohibits health insurers and Medicaid programs from setting arbitrary time caps on reimbursement for anesthesia services during medically necessary procedures. This ensures that patient safety and the duration of care are determined solely by medical necessity, not by pre-set insurance limits. It protects patients from unexpected bills and allows providers to deliver necessary care without time pressure.
Key points
Insurers cannot deny payment for anesthesia services simply because the procedure exceeded a pre-set time limit.
The duration of anesthesia coverage must be based strictly on the medical necessity assessed by the attending anesthesia provider.
The rules apply to both private group health plans and state Medicaid programs, ensuring consistent standards of care.
The Inspector General's office will audit insurers periodically to ensure compliance with the new prohibition.
Introduced
Citizen Poll