Audited financial report, requirements added; annual report,
requirements altered..........................................................................
Exclusion of coverage of drugs used for indications not approved by
the Food and Drug Administration, prohibited under certain
conditions; review of off-label use of drugs by panel of medical
experts, report requirements added..................................................
Foods and food products for the treatment of certain inherited
metabolic diseases, coverage required ..............................................
In-network obstetrician/gynecologists, annual visit for routine care
for women who do not choose an obstetrician/gynecologist as their
primary care provider, coverage requirements added .....................
Limited set of health benefits for subscribers enrolled in a county
program for low-income individuals, provisions added...................
Managed care plans, authorization to require medical assistance
recipients to enroll in, and quality assurance programs for,
provisions added.................................................................................
Maternity and newborn care, utilization review criteria and standards
for hospital services, including length of stay, requirements altered
Point-of-service option for health care and dental benefits, patient
continuum of care when provider terminated from HMO panel,
application process for HMO panel of providers, and method of
payment of provider by insurance carrier, provisions altered .........
Priority of claims of health care providers in the event of liquidation
or rehabilitation, provisions added ...................................................
Substance abusing pregnant women receiving medical assistance,
authorization to disenroll from health maintenance organization
and enter an alcohol and drug abuse treatment program, provisions
repealed.............................................................................................
Uniform forms for treatment plans for mental health and alcohol and
drug abuse for utilization review purposes, and for laboratory
referrals, provider vouchers, and consultation referrals,
requirements added ...........................................................................
User fee assessments on third party administrators, provisions
altered; determination of total user fee assessment on classes of
payors, provisions added....................................................................
Health Occupations —
Boards and commissions, appropriation to ..........................................
Chiropractic Examiners, State Board of, membership increased .......
Counseling and marriage and family therapy, provision by uncertified
persons under the supervision of certified persons, provisions
added; restrictions on the practice of psychology, provisions altered
and exemptions added .......................................................................
Health Maintenance Organizations -
Point-of-service option for health care and dental benefits, patient
continuum of care when provider terminated from HMO panel,
application process for HMO panel of providers, and method of
payment of provider by insurance carrier, provisions altered......
- 4496 -
INDEX
182
|
1922
|
156
|
1866
|
270
|
2118
|
159
|
1875
|
333
|
2273
|
500
|
2891
|
502
|
2910
|
503
|
2917
|
604
|
3431
|
605
|
3450
|
273
|
2126
|
500
|
2891
|
577
|
3291
|
462
|
2651
|
7
|
452
|
244
|
2066
|
598
|
3379
|
604
|
3431
|
605
|
3450
|
|