On May 25, 2021, the Department of Insurance issued Bulletin No. 8-2021 regarding the Medical Ethics and Diversity Act (“Act 462”). The communication reminds insurers, HMOs and employer health plans of the annual filing obligations under Act 462.
Act 462 grants medical practitioners, healthcare institutions and healthcare payers the right to conscientiously object to any healthcare service based on religious, moral or ethical grounds.
A payer intending to use the conscience objection to refuse payment must annually collect a list of billing codes for the healthcare items, services and procedures that will not be paid for reasons of conscience. Payers are encouraged to develop an annual form with the specific required information for this purpose. The list must be filed with the Commissioner by December 31 of each year, provided to plan beneficiaries and published on the healthcare payer’s website.
Alternatively, the payer may designate in writing that it will not exercise its rights under Act 462 for the year.
Employers that sponsor health plans should be aware of this bulletin.
Bulletin No. 8-2021 »
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