5304-S2.E AMH SHEL H2523.1

E2SSB 5304 - H AMD TO REV COMM AMD (H-2235.7/93) 000383 LOST 4-8-93

By Representative Sheldon and others

    On page 147, beginning on line 35 of the amendment, strike all of section 450

    Renumber remaining sections consecutively and correct internal references accordingly.

    On page 154, beginning on line 34 of the amendment, strike all of section 456

    Renumber remaining sections consecutively and correct internal references accordingly.

    On page 154, after line 33, insert the following:

    "NEW SECTION. Sec. 456.  (1) On or before December 31, 1994, the commission shall submit draft rules establishing the following to the legislature:

    (a) The uniform benefits package and supplemental benefits packages as provided in sections 448 and 449 of this act;

    (b) Enrollee and employer financial participation levels as provided in section 455 of this act;

    (c) Standards for certified health plan certification as provided in section 427 of this act; and

    (d) Medical risk adjustment mechanisms, to the extent that the commission has determined that there is a need for medical risk adjustment to certified health plans.

    (2) Final adoption of the rules by the commission is conditioned upon legislative approval of the rules, as submitted or modified, by an act of law or concurrent resolution of the legislature."

    Renumber remaining sections consecutively and correct internal references accordingly.

EFFECT:  Provides that the uniform benefits package, supplemental benefits package, enrollee and employer financial participation requirements, health plan certification standards, and medical risk distribution mechanisms developed by the commission cannot be implemented without legislative approval by act of law or concurrent resolution.

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