GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2009
SESSION LAW 2009-173
HOUSE BILL 1164
AN ACT requested by the commissioner of insurance to eliminate obsolete data collection requirements for Health Maintenance Organizations.
The General Assembly of North Carolina enacts:
SECTION 1. G.S. 58-67-50(e) reads as rewritten:
"§ 58-67-50. Evidence of coverage and premiums for health care services.
(e) Effective
January 1, 1989, everyEvery health maintenance organization shall
provide at least minimum cost and utilization information for group contracts
of 100 or more subscribers on an annual basis when requested by the group. Such
information shall be compiled in accordance with the Data Collection Form
developed by the Standardized HMO Date Form Task Force as endorsed by the
Washington Business Group on Health and the Group Health Association of America
on November 19, 1986, and any subsequent amendments. In addition, beginning
with data for the calendar year 1998, every HMO, for group contracts of 1,000
or more members, shall provide cost, use of service, prevention, outcomes, and
other group-specific data as collected in accordance with the latest edition of
the Healthcare Effectiveness Data and Information Set guidelines, as published
by the National Committee for Quality Assurance. Beginning with data for the
calendar year 1998, every HMO shall file with the Commissioner and make
available to all employer groups, not later than July 1 of the following
calendar year, a report of health benefit plan-wide experience on its costs,
use of services, and other aspects of performance, in the Healthcare
Effectiveness and Information Set format."
SECTION 2. This act is effective when it becomes law.
In the General Assembly read three times and ratified this the 16th day of June, 2009.
s/ Marc Basnight
President Pro Tempore of the Senate
s/ Joe Hackney
Speaker of the House of Representatives
s/ Beverly E. Perdue
Governor
Approved 11:28 a.m. this 26th day of June, 2009