Legislation


40 Pa. Stat. and Pa. Cons. Stat. Ann. §§ 991.2101 through 991.2194: Quality Health Care Accountability and Protection – Pennsylvania

Status: Enacted
Year Enacted: 1998
File: Download

Provisions governing managed care plans to ensure quality health care including prohibitions on financial incentives and gag clauses, standards regarding utilization review, prompt paymen of claims, and general responsibilities of managed care plans. Requires the Legislative Budget and Finance Committee to conduct a review of and issue a report on the delivery and quality of health care services provided through the current fee-for-service progam as well as by managed care plans participating in the Commonwealth’s medical assistance program.


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