Amend CSSB 7 (house committee printing) as follows:
(1)  On page 44, line 15, strike "21st" and substitute "30th".
(2)  On page 44, between lines 23 and 24, insert the following:
(7-a) a requirement that the managed care organization demonstrate to the commission that the organization pays claims described by Subdivision (7)(A)(ii) on average not later than the 21st day after the date the claim is received by the commission;
(3)  On page 46, line 14, strike "and" and substitute "[and]".
(4)  On page 46, line 17, immediately after the semicolon, insert the following:
; and
(D)  the managed care organization to allow a provider with a claim that has not been paid before the time prescribed by Subdivision (7)(A)(ii) to initiate an appeal of that claim;