HB 1179-2_ Filed 01/24/2000, 10:55
Text Box
PREVAILED Roll Call No. _______
FAILED Ayes _______
WITHDRAWN Noes _______
RULED OUT OF ORDER
[
HOUSE MOTION ____
]
MR. SPEAKER:
I move that House Bill 1179 be amended to read as follows:
Page 44, between lines 35 and 36, begin a new paragraph and
insert:
SOURCE: IC 27-13-36-1; (00)MO118901.32. -->
"SECTION 32. IC 27-13-36-1 IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 2000]: Sec. 1. (a) Each health
maintenance organization shall appoint a medical director who has an
unlimited license to practice medicine under IC 25-22.5.
or an
equivalent license issued by another state.
(b) The medical director is responsible for oversight of treatment
policies, protocols, quality assurance activities, and utilization
management decisions of the health maintenance organization.
(c) A health maintenance organization shall contract with or
employ at least one (1) individual who holds an unlimited license to
practice medicine under IC 25-22.5 to do the following:
(1) Develop, in consultation with a group of appropriate
providers, the health maintenance organization's treatment
policies, protocols, and quality assurance activities.
(2) Consult with the treating provider before an adverse
utilization review decision is made.
(d) Compliance with the most current standards or guidelines
developed by the National Committee on Quality Assurance or a
successor organization is sufficient to meet the requirements of this
section.".
Renumber all SECTIONS consecutively.
(Reference is to HB 1179 as printed January 14, 2000.)
________________________________________
Representative Fry
DH 117901/DI ejb
2000