Utah Code Title 31A. Insurance Code § 31A-22-627. Coverage of emergency medical services

(a) shall provide coverage of emergency services; and

(b) may not:

(2)(a) A health insurance policy or managed care organization contract may require authorization for the continued treatment of an emergency medical condition after the insured's condition has been stabilized.

(b) If authorization described in Subsection (2)(a) is required, an insurer who does not accept or reject a request for authorization may not deny a claim for any evaluation, diagnostic testing, or other treatment considered medically necessary that occurred between the time the request was received and the time the insurer rejected the request for authorization.

(a) “Hospital emergency department” means that area of a hospital in which emergency services are provided on a 24-hour-a-day basis.

(b) “Stabilize” means the same as that term is defined in 42 U.S.C. Sec. 1395dd(e)(3).

(a) altering the level or type of benefits that are provided under the terms of a contract or policy; or

(b) restricting a policy or contract from providing enhanced benefits for certain emergency medical conditions that are identified in the policy or contract.

(a) work with the insurer to improve the insurer's compliance with this section; or

(b) impose the following fines: