GENERAL ASSEMBLY OF NORTH CAROLINA

SESSION 1999

S	2 

SENATE BILL 1089
Insurance Committee Substitute Adopted 4/28/99

Short Title:  Managed Care Study.     	(Public)

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Sponsors:

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Referred to:  

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April 15, 1999

A BILL TO BE ENTITLED
AN ACT TO PROVIDE FOR A STUDY OF MANAGED CARE.
The General Assembly of North Carolina enacts:
Section 1. The Legislative Research Commission may study the following issues relating to managed care:
(1)	Quality of care.
(2)	Cost of care and cost-containment measures of managed care plans.
(3)	Provider selection and retention, including whether any provider willing to meet the terms, conditions, and standards, including the terms of reimbursement, of a managed care plan should be allowed to participate in the plan (SB 1090).
(4)	The establishment of a consumer's insurance advocate to appear on behalf of consumers in actions and proceedings involving insurance products and services, to publish consumer-oriented insurance information, to respond to consumer complaints, to advocate on behalf of State employees with respect to insurance products and services provided to those employees, and to report on its activities (SB 1108).
(5)	Requiring the Commissioner of Insurance to submit reports on the status of managed care to the General Assembly and Governor, including information on outcome data, utilization review, provider access, and related matters (SB 1089).
(6)	Providing funds to pay for prescription drugs for certain persons ineligible for Medicaid but whose income is no more than two hundred percent (200%) above poverty level, and who has a life-threatening disease or condition for which the the drugs have been prescribed (SB 1109).
(7)	Liability of providers and managed care plans.
(8)	Any other issues concerning the delivery of managed care.
Section 2. In order to facilitate deliberation on any legislation recommended to the 2000 Regular Session, the Commission may consider appointing members of the Insurance Committees of the House and Senate to the study committee that examines the issues in Section 1 of this act.
Section 3. The Commission may report its findings and recommendations to the 2000 Regular Session of the 1999 General Assembly.
Section 4.  This act becomes effective July 1, 1999.