SENATE AMENDMENT

    Bill No. CS for SB 2280

    Amendment No.    

                            CHAMBER ACTION
              Senate                               House
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11  Senator Campbell moved the following amendment:

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13         Senate Amendment 

14         On page 20, line 27, through

15            page 21, line 15, delete those lines

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17  and insert:

18         6.  Any HMO participating in the state group insurance

19  program shall submit health care utilization and cost data to

20  the department, in such form and in such manner as the

21  division shall require, as a condition of participating in the

22  program. The department shall enter into negotiations with its

23  contracting HMOs to determine the nature and scope of the data

24  submission and the final requirements, format, penalties

25  associated with noncompliance, and timetables for submission.

26  These determinations shall be adopted by rule. Any HMO

27  participating in the state group insurance program shall, upon

28  the request of the division, submit to the division

29  standardized data for the purpose of comparison of the

30  appropriateness, quality, and efficiency of care provided by

31  the HMO. Such standardized data shall include:  membership

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                                                  SENATE AMENDMENT

    Bill No. CS for SB 2280

    Amendment No.    





 1  profiles; inpatient and outpatient utilization by age and sex,

 2  type of service, provider type, and facility; and emergency

 3  care experience. Requirements and timetables for submission of

 4  such standardized data and such other data as the division

 5  deems necessary to evaluate the performance of participating

 6  HMOs shall be adopted by rule.

 7         7.  The department may establish and direct with

 8  respect to collective bargaining issues, a comprehensive

 9  package of insurance benefits that may include, supplemental

10  health and life coverage, dental care, long-term care, vision

11  care, and other benefits it determines necessary to enable

12  state employees to select from among benefit options that best

13  suit their individual and family needs division shall, after

14  consultation with representatives from each of the unions

15  representing state and university employees, establish a

16  comprehensive package of insurance benefits including, but not

17  limited to, supplemental health and life coverage, dental

18  care, long-term care, and vision care to allow state employees

19  the option to choose the benefit plans which best suit their

20  individual needs.

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