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AR SB1122
Bill
Status
4/23/2013
Primary Sponsor
David Johnson
Click for details
AI Summary
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Transfers regulatory authority over health maintenance organizations from the Department of Health to the Insurance Commissioner, making the Commissioner the primary regulator while the Director of the Department of Health retains advisory role on quality of care issues.
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Modifies the certificate of authority issuance process so the Commissioner directly determines if applicants meet requirements, with the Director certifying within 60 days whether quality of care standards are met.
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Establishes that the Director's recommendations regarding quality of health care services are conclusive and binding on the Commissioner in suspension or revocation proceedings.
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Reallocates HMO licensing fees from the Public Health Fund to the State Insurance Department Trust Fund, including $1,000 for original application review, $200 for issuance, $100 for annual renewal, $50 for annual statements, and $100 for document amendments.
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Requires HMOs to submit annual reports and quality assurance information to the Insurance Commissioner rather than the Department of Health, though copies may still be provided to the Director for quality monitoring purposes.
Legislative Description
To Amend The Law Governing Health Maintenance Organizations; And To Transfer Regulatory Responsibilities Of The Department Of Health For Health Maintenance Organizations To The Insurance Commissioner.
Last Action
Notification that SB1122 is now Act 1433
4/23/2013