Amends TCA Title 56, Chapter 7, Part 23.

Present law prohibits a health benefit plan from denying coverage for emergency services if the symptoms presented by an enrollee of a health benefit plan and recorded by the attending provider indicate that an emergency medical condition could exist, regardless of whether or not prior authorization was obtained to provide those services and regardless of whether or not the provider furnishing the services has a contractual agreement with the health benefit plan for the provision of the services to the enrollee.<br /> <br /> This bill revises this provision to instead prohibit a health benefit plan from denying payment for emergency services if the symptoms presented by an enrollee of a health benefit plan and recorded by the attending provider indicate that an emergency medical condition could exist, regardless of:<br /> <br /> (A) The final diagnosis of the symptoms;<br /> <br /> (B) Whether prior authorization was obtained to provide those services; <br /> <br /> and<br /> <br /> (C) Whether the provider furnishing the services has a contractual agreement with the health benefit plan for the provision of the services to the enrollee.<br /> <br /> ON MARCH 17, 2022, THE SENATE ADOPTED AMENDMENT #1 AND PASSED SENATE BILL 2386, AS AMENDED.<br /> <br /> AMENDMENT #1 specifies that the health benefit plan may not deny "payment or coverage" under this bill.<br />