reglab/housing_qa huggingface dataset:
MT Code § 33-36-302 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 36. Managed Care Plan Network Adequacy and Quality Assurance|Part 3. Quality Assurance|33-36-302. Standards for health carrier quality assessment programs

  33-36-302. Standards for health carrier quality assessment programs. A health carrier that issues a closed plan or a combination plan shall adopt and use infrastructure and disclosure systems sufficient to accurately measure the quality of health care services provided to covered persons on a regular basis and appropriate to the types of plans offered by the health carrier. To comply with this requirement, a health carrier shall:   (1) establish and use a system designed to assess the quality of health care provided to covered persons and appropriate to the types of plans offered by the health carrier. The system must include systematic collection, analysis, and reporting of relevant data.   (2) communicate in a timely fashion its findings concerning the quality of health care to regulatory agencies, providers, and consumers as provided in 33-36-304;   (3) report to the appropriate professional or occupational licensing board provided in Title 37 any persistent pattern of problematic care provided by a participating provider that is sufficient to cause the health carrier to terminate or suspend a contractual arrangement with the participating provider; and   (4) file a written description of the quality assessment program and any subsequent material changes with the department in a format that must be prescribed by rules of the department. The description must include a signed certification by a corporate officer of the health carrier that the health carrier's quality assessment program meets the requirements of this part.   History: En. Sec. 24, Ch. 413, L. 1997.
MT Code § 33-36-303 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 36. Managed Care Plan Network Adequacy and Quality Assurance|Part 3. Quality Assurance|33-36-303. Standards for health carrier quality improvement programs

  33-36-303. Standards for health carrier quality improvement programs. A health carrier that issues a closed plan or a combination plan shall, in addition to complying with 33-36-302, adopt and use systems and methods necessary to improve the quality of health care provided in the health carrier's managed care plan as indicated by the health carrier's quality assessment program and as required by this section. To comply with this requirement, a health carrier subject to this section shall:   (1) establish an internal system capable of identifying opportunities to improve care;   (2) use the findings generated by the system required by subsection (1) to work on a continuing basis with participating providers and other staff within the closed plan or closed component to improve the health care delivered to covered persons;   (3) adopt and use a program for measuring, assessing and improving the outcomes of health care as identified in the health carrier's quality improvement program plan. This quality improvement program plan must be filed with the department by October 1, 2000, and must be consistent with this part. A health carrier shall file any subsequent material changes to its quality improvement program plan within 30 days of implementation of the change. The quality improvement program plan must:   (a) implement improvement strategies in response to quality assessment findings that indicate improvement is needed; and   (b) evaluate, not less than annually, the effectiveness of the strategies implemented pursuant to subsection (3)(a).   History: En. Sec. 25, Ch. 413, L. 1997.
MT Code § 33-36-304 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 36. Managed Care Plan Network Adequacy and Quality Assurance|Part 3. Quality Assurance|33-36-304. Reporting and disclosure requirements

  33-36-304. Reporting and disclosure requirements. (1) A health carrier offering a closed plan or a combination plan shall document and communicate information, as required in this section, about its quality assurance program. The health carrier shall:   (a) include a summary of its quality assurance program in marketing materials;   (b) include a description of its quality assurance program and a statement of patient rights and responsibilities with respect to that program in the certificate of coverage or handbook provided to newly enrolled covered persons; and   (c) make available annually to providers and covered persons a report containing findings from its quality assurance program and information about its progress in meeting internal goals and external standards, when available.   (2) A health carrier shall certify to the department annually that its quality assurance program and the materials provided to providers and consumers in accordance with subsection (1) meet the requirements of this part.   (3) A health carrier shall make available, upon request and payment of a reasonable fee, the materials certified pursuant to subsection (2), except for the materials subject to the confidentiality requirements of 33-36-305 and materials that are proprietary to the managed care plan. A health carrier shall retain all certified materials for at least 3 years from the date that the material was certified or until the material has been examined as part of a market conduct examination, whichever is later.   History: En. Sec. 26, Ch. 413, L. 1997.
MT Code § 33-36-305 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 36. Managed Care Plan Network Adequacy and Quality Assurance|Part 3. Quality Assurance|33-36-305. Confidentiality of health care and quality assurance records -- disclosure

  33-36-305. Confidentiality of health care and quality assurance records -- disclosure. (1) Except as provided in subsection (2), the following information held by a health carrier offering a closed plan or a combination plan is confidential and may not be disclosed by the carrier to a person:   (a) information pertaining to the diagnosis, treatment, or health of a covered person, regardless of whether the information is in the form of paper, is preserved on microfilm, or is stored in computer-retrievable form;   (b) information considered by a quality assurance program and the records of its actions, including testimony of a member of a quality committee, of an officer, director, or other member of a health carrier or its staff engaged in assisting the quality committee or engaged in the health carrier's quality assessment, quality improvement, or quality assurance activities, or of any person assisting or furnishing information to the quality committee.   (2) The information specified in subsection (1) may be disclosed:   (a) as allowed by Title 33, chapter 19;   (b) as required in proceedings before the commissioner, a professional or occupational licensing board provided in Title 37, or the department pursuant to Title 50, chapter 5, part 2;   (c) in an appeal, if an appeal is permitted, from a quality committee's findings or recommendations; or   (d) as otherwise required by law or court order, including a judicial or administrative subpoena.   (3) Information specified in subsection (1) identifying:   (a) the provider may also be disclosed upon a written, dated, and signed approval of the provider if the information does not identify the covered person;   (b) the covered person may also be disclosed upon a written, dated, and signed approval of the covered person or of the parent or guardian of a covered person if the covered person is a minor and if the information does not identify the provider;   (c) neither the provider nor the covered person may also be disclosed upon request for use for statistical purposes only.   History: En. Sec. 27, Ch. 413, L. 1997.
MT Code § 33-36-401 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 36. Managed Care Plan Network Adequacy and Quality Assurance|Part 4. Enforcement|33-36-401. Enforcement

  33-36-401. Enforcement. (1) If the department determines that a health carrier has not complied with this chapter or the rules implementing this chapter, the department may recommend corrective action to the health carrier.   (2) At the recommendation of the department the commissioner may take an enforcement action provided in subsection (3) if:   (a) a health carrier fails to implement corrective action recommended by the department;   (b) corrective action taken by a health carrier does not result in bringing a health carrier into compliance with this chapter and the rules implementing this chapter within a reasonable period of time;   (c) the department demonstrates to the commissioner that a health carrier does not comply with this chapter or the rules implementing this chapter; or   (d) the commissioner determines that a health carrier has violated or is violating this chapter or the rules implementing this chapter.   (3) The commissioner may take any of the following enforcement actions to require a health carrier to comply with this chapter or the rules implementing this chapter:   (a) suspend or revoke the health carrier's certificate of authority or deny the health carrier's application for a certificate of authority; or   (b) use any of the commissioner's other enforcement powers provided in Title 33, chapter 1, part 3.   History: En. Sec. 28, Ch. 413, L. 1997.
MT Code § 33-36-402 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 36. Managed Care Plan Network Adequacy and Quality Assurance|Part 4. Enforcement|33-36-402. Jurisdiction over contract actions

  33-36-402. Jurisdiction over contract actions. The district courts have jurisdiction over actions for the enforcement of contracts authorized or regulated by this chapter.   History: En. Sec. 29, Ch. 413, L. 1997.
MT Code § 33-37-101 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 37. Regulation of Health Carriers and Managed Care Entities (Repealed)|Part 1. General Provisions (Repealed)|33-37-101. Repealed

  33-37-101. Repealed. Sec. 40, Ch. 428, L. 2015.   History: En. Sec. 1, Ch. 482, L. 1999.
MT Code § 33-37-102 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 37. Regulation of Health Carriers and Managed Care Entities (Repealed)|Part 1. General Provisions (Repealed)|33-37-102. Repealed

  33-37-102. Repealed. Sec. 40, Ch. 428, L. 2015.   History: En. Sec. 2, Ch. 482, L. 1999.
MT Code § 33-37-103 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 37. Regulation of Health Carriers and Managed Care Entities (Repealed)|Part 1. General Provisions (Repealed)|33-37-103. Repealed

  33-37-103. Repealed. Sec. 40, Ch. 428, L. 2015.   History: En. Sec. 3, Ch. 482, L. 1999.
MT Code § 33-37-104 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 37. Regulation of Health Carriers and Managed Care Entities (Repealed)|Part 1. General Provisions (Repealed)|33-37-104. Repealed

  33-37-104. Repealed. Sec. 40, Ch. 428, L. 2015.   History: En. Sec. 4, Ch. 482, L. 1999.
MT Code § 33-37-105 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 37. Regulation of Health Carriers and Managed Care Entities (Repealed)|Part 1. General Provisions (Repealed)|33-37-105. Repealed

  33-37-105. Repealed. Sec. 40, Ch. 428, L. 2015.   History: En. Sec. 5, Ch. 482, L. 1999.
MT Code § 33-37-106 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 37. Regulation of Health Carriers and Managed Care Entities (Repealed)|Part 1. General Provisions (Repealed)|33-37-106. Repealed

  33-37-106. Repealed. Sec. 40, Ch. 428, L. 2015.   History: En. Sec. 8, Ch. 482, L. 1999.
MT Code § 33-37-107 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 37. Regulation of Health Carriers and Managed Care Entities (Repealed)|Part 1. General Provisions (Repealed)|33-37-107. through 33-37-109 reserved

  33-37-107 through 33-37-109 reserved.
MT Code § 33-37-110 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 37. Regulation of Health Carriers and Managed Care Entities (Repealed)|Part 1. General Provisions (Repealed)|33-37-110. Repealed

  33-37-110. Repealed. Sec. 40, Ch. 428, L. 2015.   History: En. Sec. 1, Ch. 107, L. 2001.
MT Code § 33-38-101 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 38. Medical Care and Pharmacy Discount Cards|Part 1. General Provisions|33-38-101. Short title -- purpose

  33-38-101. Short title -- purpose. (1) This part may be cited as the "Montana Medical Care Discount Card and Pharmacy Discount Card Act".   (2) The purposes of this part are to regulate the promotion, offer, sale, and use of medical care discount cards and pharmacy discount cards and to facilitate the detection of and reduce the occurrence of medical care discount card and pharmacy discount card fraud.   History: En. Sec. 4, Ch. 456, L. 2005.
MT Code § 33-38-103 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 38. Medical Care and Pharmacy Discount Cards|Part 1. General Provisions|33-38-103. Unlawful acts by medical care discount card suppliers or enrollers

  33-38-103. Unlawful acts by medical care discount card suppliers or enrollers. (1) A medical care discount card supplier or an enroller that markets, promotes, advertises, or distributes a medical care discount card in Montana:   (a) may not make misleading, deceptive, or fraudulent representations regarding:   (i) the discount or range of discounts offered by a medical care discount card;   (ii) the access to any range of discounts offered by a medical care discount card; or   (iii) another medical care service provided in connection with a medical care discount card;   (b) may not use terms or phrases commonly associated with insurance products that could lead a prospective purchaser or user of a medical care discount card to believe that the card being offered is composed of one or more insurance products or is a substitute for insurance, despite disclaimers to the contrary by the medical care discount card supplier or enroller;   (c) shall provide to a prospective purchaser or user, before purchase, access to a list of health care providers, including the name, city, state, and provider type and, optionally, the address and telephone number of each health care provider in the prospective purchaser's or user's service area; and   (d) shall make continuously available to each medical care discount card user, through a toll-free telephone number, the internet, and in writing upon request, the name, address, telephone number, and provider type of all health care providers in the user's service area who are bound by contract to provide services in accordance with the terms and conditions applicable to the card.   (2) A medical care discount card supplier that markets, promotes, advertises, or distributes a medical care discount card in Montana shall:   (a) state, on all advertisements for medical care discount cards, in bold and prominent type of at least 14 points in size, and on all cards themselves in clear and conspicuous type, that the card is not insurance;   (b) designate and provide the commissioner with the name, address, and telephone number of a medical care discount card compliance officer responsible for ensuring compliance with the provisions of this part applicable to medical care discount cards and medical care discount card suppliers and enrollers; and   (c) ensure that if the medical care discount card supplier claims that a specific health care provider offers a discount in conjunction with the medical care discount card, that specific health care provider is contractually bound to provide that discount to the purchaser or user.   History: En. Sec. 6, Ch. 456, L. 2005.
MT Code § 33-38-104 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 38. Medical Care and Pharmacy Discount Cards|Part 1. General Provisions|33-38-104. Right to return or cancel medical care discount card or pharmacy discount card -- notice -- prohibited acts

  33-38-104. Right to return or cancel medical care discount card or pharmacy discount card -- notice -- prohibited acts. (1) A medical care discount card or pharmacy discount card issued for delivery in this state is returnable or cancelable, within 30 days of the date of delivery of the card or a longer period if provided in the purchase agreement, by the purchaser or user for any reason, and the user must receive a full refund of all fees, except nominal fees associated with enrollment costs, that were part of the cost of the card.   (2) A medical care discount card supplier or pharmacy discount card supplier may not charge or collect a fee, including a cancellation fee, after a purchaser or user has returned a card to the supplier or given the supplier notice of the person's intention to return or cancel the card.   (3) A medical care discount card supplier or pharmacy discount card supplier shall ensure that each purchaser or user receives with the card a notice stating the terms under which the medical care discount card or pharmacy discount card may be returned or canceled as provided in subsections (1) and (2). A medical care discount card or pharmacy discount card returned or canceled in accordance with this section is void from the date of purchase.   History: En. Sec. 7, Ch. 456, L. 2005.
MT Code § 33-38-107 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 38. Medical Care and Pharmacy Discount Cards|Part 1. General Provisions|33-38-107. Waiver of registration and bonding requirements

  33-38-107. Waiver of registration and bonding requirements. The commissioner may waive the requirements of 33-38-105 and 33-38-106 for any preferred provider organization company. The factors taken into account in granting a waiver include but are not limited to whether the company:   (1) has contracts in place with health care providers residing in this state;   (2) has contracts in place with users and purchasers of health care services residing in this state who use the medical care discount card in conjunction with a self-funded or fully insured health plan;   (3) is primarily in the preferred provider organization business or primarily in the medical care discount card supplier business; and   (4) was in business in this state prior to October 1, 2005.   History: En. Sec. 10, Ch. 456, L. 2005.
MT Code § 33-39-102 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 39. Interstate Insurance Product Regulation|Part 1. Interstate Insurance Product Regulation Compact|33-39-102. Montana compact commissioner -- alternate

  33-39-102. Montana compact commissioner -- alternate. The commissioner of insurance provided for in 2-15-1903 or the commissioner's designated alternate shall represent this state on the interstate insurance product regulation commission.   History: En. Sec. 2, Ch. 360, L. 2013.
MT Code § 33-39-103 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 39. Interstate Insurance Product Regulation|Part 1. Interstate Insurance Product Regulation Compact|33-39-103. Opt-out duties, guidelines, remedies

  33-39-103. Opt-out duties, guidelines, remedies. (1) As a participant in the Interstate Insurance Product Regulation Compact, the commissioner may opt out of any uniform standard that provides a materially lower level of protection for or materially diminishes the rights of Montana policyholders or policy applicants under Montana law.   (2) Using the time periods provided in Title 2, chapter 4, for adopting administrative procedures and prior to notifying the interstate insurance product regulation commission of a decision to opt out, the commissioner shall provide public notice and hold a public hearing to allow for comments on the decision to opt out.   (3) After taking public comment, the commissioner shall notify the interstate insurance product regulation commission, the governor, and the legislative council of the decision to opt out.   (4) A decision of the commissioner to opt out of a uniform standard may be appealed as provided in 33-1-711.   History: En. Sec. 3, Ch. 360, L. 2013.
MT Code § 33-40-101 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 40. Patient-Centered Medical Homes (Terminated)|Part 1. Patient-Centered Medical Homes Act (Terminated)|33-40-101. Terminated

  33-40-101. Terminated. Sec. 14, Ch. 363, L. 2013.   History: En. Sec. 1, Ch. 363, L. 2013.
MT Code § 33-40-102 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 40. Patient-Centered Medical Homes (Terminated)|Part 1. Patient-Centered Medical Homes Act (Terminated)|33-40-102. Terminated

  33-40-102. Terminated. Sec. 14, Ch. 363, L. 2013.   History: En. Sec. 2, Ch. 363, L. 2013.
MT Code § 33-40-103 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 40. Patient-Centered Medical Homes (Terminated)|Part 1. Patient-Centered Medical Homes Act (Terminated)|33-40-103. Terminated

  33-40-103. Terminated. Sec. 14, Ch. 363, L. 2013.   History: En. Sec. 3, Ch. 363, L. 2013.
MT Code § 33-40-104 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 40. Patient-Centered Medical Homes (Terminated)|Part 1. Patient-Centered Medical Homes Act (Terminated)|33-40-104. Terminated

  33-40-104. Terminated. Sec. 14, Ch. 363, L. 2013.   History: En. Sec. 4, Ch. 363, L. 2013.
MT Code § 33-40-105 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 40. Patient-Centered Medical Homes (Terminated)|Part 1. Patient-Centered Medical Homes Act (Terminated)|33-40-105. Terminated

  33-40-105. Terminated. Sec. 14, Ch. 363, L. 2013.   History: En. Sec. 5, Ch. 363, L. 2013.
MT Code § 35-1-101 (2021)
2021 Montana Code Annotated|Title 35. Corporations, Partnerships, and Associations|Chapter 1. Montana Benefit Corporation Act|Part 1. General (Renumbered and Repealed)|35-1-101. Renumbered 35-1-112

  35-1-101. Renumbered 35-1-112. Sec. 221, Ch. 368, L. 1991.
MT Code § 35-1-102 (2021)
2021 Montana Code Annotated|Title 35. Corporations, Partnerships, and Associations|Chapter 1. Montana Benefit Corporation Act|Part 1. General (Renumbered and Repealed)|35-1-102. Repealed

  35-1-102. Repealed. Sec. 216, Ch. 368, L. 1991.   History: En. Sec. 2, Ch. 300, L. 1967; amd. Sec. 1, Ch. 152, L. 1969; R.C.M. 1947, 15-2202; amd. Sec. 1, Ch. 475, L. 1981; amd. Sec. 2, Ch. 273, L. 1989.
MT Code § 35-1-103 (2021)
2021 Montana Code Annotated|Title 35. Corporations, Partnerships, and Associations|Chapter 1. Montana Benefit Corporation Act|Part 1. General (Renumbered and Repealed)|35-1-103. Repealed

  35-1-103. Repealed. Sec. 216, Ch. 368, L. 1991.   History: En. Sec. 136, Ch. 300, L. 1967; R.C.M. 1947, 15-22-136(part).
MT Code § 35-1-104 (2021)
2021 Montana Code Annotated|Title 35. Corporations, Partnerships, and Associations|Chapter 1. Montana Benefit Corporation Act|Part 1. General (Renumbered and Repealed)|35-1-104. Repealed

  35-1-104. Repealed. Sec. 216, Ch. 368, L. 1991.   History: En. Sec. 137, Ch. 300, L. 1967; R.C.M. 1947, 15-22-137.
MT Code § 35-1-105 (2021)
2021 Montana Code Annotated|Title 35. Corporations, Partnerships, and Associations|Chapter 1. Montana Benefit Corporation Act|Part 1. General (Renumbered and Repealed)|35-1-105. Repealed

  35-1-105. Repealed. Sec. 216, Ch. 368, L. 1991.   History: En. Sec. 139, Ch. 300, L. 1967; R.C.M. 1947, 15-22-139.
MT Code § 35-1-106 (2021)
2021 Montana Code Annotated|Title 35. Corporations, Partnerships, and Associations|Chapter 1. Montana Benefit Corporation Act|Part 1. General (Renumbered and Repealed)|35-1-106. Repealed

  35-1-106. Repealed. Sec. 216, Ch. 368, L. 1991.   History: En. Sec. 138, Ch. 300, L. 1967; R.C.M. 1947, 15-22-138.