,,ii  #aac? ,,congress  #a/ ,session    
,s4 #adha  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #a1 #bjac ,ms4  
,klobu*> introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to require issu]s ( long t]m
 c>e insurance to e/abli% ?ird-p>ty     
review processes = disput$ claims4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,long ,t]m ,c>e ,insurance ,integrity   
,act ( #bjac4  #b4 ,long t]m c>e        
insurance dispute resolution review     
process  7a7 ,9 g5]al ,not)/&+ any o!r  
provision ( law1 an insurance issu] t   
(f]s a long t]m c>e insurance plan %all 
develop & implem5t claims dispute       
resolution proc$ures t comply ) !       
requirem5ts ( ?is section t %all be     
applicable to su* plan4  7b7 ,requirem5t
 ,a claims dispute resolution proc$ure  
"u subsection 7a7 %all--  7#a7 be       
design$ to exp$iti\sly resolve disputes 
conc]n+ claims "u ! plan involv$2  7#b7 
) respect to su* disputes1 provide = !  

application ( "o or m alt]native means (
 dispute resolution involv+ indep5d5t   
?ird-p>ty review "u appropriate         
circum/ances by entities t are mutually 
acceptable to ! issu] & ! enrollee      
involv$1 ) ! decision ( su* review] be+ 
b9d+ on ! issu]2 &  7#c7 ensure t an    
enrollee is eligible to obta9 claims    
review only to ! ext5t & 9 ! mann]      
provid$ = 9 ! applicable insurance      
contract4  7c7 ,appeals ,an enrollee may
 appeal ! decision ( an indep5d5t       
review] "u subsection 7b77#b7 to an     
appropriate ,/ate c\rt z provid$ = "u   
,/ate law4  7d7 ,rule ( con/ruction     
,no?+ 9 ?is section %all be con/ru$ to  
provide au?ority = an indep5d5t         
?ird-p>ty review] "u subsection 7b77#b7 
to modify ! t]ms ( any long t]m c>e     
insurance contract4