ENROLLED
H. B. 4509
(By Delegates Douglas, Kuhn, Perdue, Marshall,
Ennis, Flanigan and Ellem)
[Passed March 8, 2002; in effect from passage.]
AN ACT to amend and reenact sections two and three, article one-
a, chapter sixteen of the code of West Virginia, one
thousand nine hundred thirty-one, as amended, relating to
uniform credentialing of health care practitioners;
requiring certain health care practitioners to use uniform
application forms; continuing the advisory committee;
setting terms for members of the advisory committee;
requiring the advisory committee to meet annually; and
providing that uniform forms and lists of practitioners
required to use uniform forms may be set forth in procedural
rule.
Be it enacted by the Legislature of West Virginia:
That sections two and three, article one-a, chapter sixteen
of the code of West Virginia, one thousand nine hundred thirty-one, as amended, be amended and reenacted to read as follows:
ARTICLE 1A. UNIFORM CREDENTIALING FOR HEALTH CARE PRACTITIONERS.
§16-1A-2. Development of uniform credentialing application
forms.
Notwithstanding any provision of this code to the contrary,
the secretary of the department of health and human resources and
the insurance commissioner, on or before the first day of June,
two thousand two, shall jointly propose rules for legislative
approval in accordance with the provisions of article three,
chapter twenty-nine-a of this code which set forth uniform
application forms for credentialing, recredentialing or updating
information and to specify the health care practitioners who
shall utilize the forms.
§16-1A-3. Advisory committee.
(a) The secretary of the department of health and human
resources and the insurance commissioner shall jointly establish
an advisory committee to assist them in the development and
implementation of the uniform credentialing process in this
state. The advisory committee shall consist of eleven appointed
members. Six members shall be appointed by the secretary of the
department of health and human resources: One member shall
represent a hospital with one hundred beds or less; one member
shall represent a hospital with more than one hundred beds; one member shall represent another type of health care facility
requiring credentialing; one member shall be a person currently
credentialing on behalf of health care practitioners; and two of
the members shall represent the health care practitioners subject
to credentialing. Five members shall be representative of the
entities regulated by the insurance commissioner that require
credentialing and shall be appointed by the insurance
commissioner: One member shall represent an indemnity health
care insurer; one member shall represent a preferred provider
organization; one member shall represent a third party
administrator; one member shall represent a health maintenance
organization accredited by American accreditation health care
commission; and one member shall represent a health maintenance
organization accredited by the national committee on quality
assurance. The secretary of the department of health and human
resources and the insurance commissioner, or the designee of
either or both, shall be nonvoting ex officio members.
(b) Of the members of the advisory committee first
appointed, four shall be appointed for a term of one year, four
shall be appointed for a term of two years, and three shall be
appointed for a term of three years. At the expiration of the
initial terms, successors will be appointed to terms of three years. Members may serve an unlimited number of terms. When a
vacancy occurs as a result of the expiration of a term or
otherwise, a successor of like qualifications shall be appointed.
(c) The advisory committee shall meet at least annually to
review the status of uniform credentialing in this state, and may
make further recommendations to the secretary of the department
of health and human resources and the insurance commissioner as
are necessary to carry out the purposes of this article. Any
uniform forms and the list of health care practitioners required
to use the uniform forms as set forth in legislative rule
proposed pursuant to section two of this article may be amended
as needed by procedural rule.
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