Source: http://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=hb2273%20intr.htm&yr=2005&sesstype=RS&i=2273
Timestamp: 2018-03-20 04:31:31
Document Index: 177391477

Matched Legal Cases: ['§33', '§33', '§33', '§33', '§33', '§33', '§33', '§33', '§33', '§33', '§33', '§33']

A BILL to amend the Code of West Virginia, 1931, as amended, by adding thereto a new article, designated §33-15D-1, §33-15D-2, §33-15D-3 and §33-15D-4, all relating to the "Mandated Benefits Review Act"; and requiring the Insurance Commissioner to review and report to the Legislature in an actuarially-based fashion the financial and other related impacts of any proposed legislation to mandate medical or health-related benefits.
That the Code of West Virginia, 1931, as amended, be amended by adding thereto a new article, designated §33-15D-1, §33-15D-2, §33-15D-3 and §33-15D-4, all to read as follows:
ARTICLE 15D. UNIFORM HEALTH CARE ADMINISTRATION ACT.
§33-15D-1. Mandated benefits review.
§33-15D-2. Declaration of purpose.
The purpose of this article is to provide for a review of mandated benefits. This article requires that a proposed mandated benefit or a proposed amendment to an existing law or a proposed amendment to a legislative proposal for mandated health benefits, mandated health insurance coverage, or mandated offerings of health benefits, be reviewed by the Insurance Commissioner. The Insurance Commissioner shall provide to the Legislature an actuarially-based review with regard to the proposal's medical efficacy and cost benefit. Twenty-five percent of existing mandated benefits shall be reviewed annually through the process provided in this article.
§33-15D-3. Definitions.
(a) As used in this article, "mandated benefits" means the following:
(3) Any mandate requiring an offering of specific services, treatments, practices, or an expansion of an existing coverage; and
(b) "Offering" means that every carrier or health plan must offer the mandated benefit to prospective customers.
(c) "Report" means an independent, actuarially-based review.
§33-15D-4. Mandated health benefits review.
(a) A legislative proposal or a proposed amendment to existing law or a proposed amendment to a legislative proposal for a new mandated health benefit shall be evaluated as to the proposal's medical efficacy and financial impact. The legislative committee considering the matter, shall refer the legislative proposal or any proposed amendment to an existing law, or any proposed amendment to a legislative proposal to the Insurance Commissioner for review.