Senate Bill No. 450
(By Senators Minard, Helmick, McCabe, Plymale and Chafin)
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[Introduced March 4, 2009; referred to the Committee on Banking
and Insurance.]
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A BILL to amend and reenact §5-16-16 of the Code of West Virginia,
1931, as amended, relating to the ability of Public Employees
Insurance Agency to enter into capitated provider arrangements
for the provision of primary health care services.
Be it enacted by the Legislature of West Virginia:
That §5-16-16 of the Code of West Virginia, 1931, as amended,
be amended and reenacted to read as follows:
ARTICLE 16. WEST VIRGINIA PUBLIC EMPLOYEES INSURANCE ACT.
§5-16-16. Preferred provider plan.
The director shall, on or before April 1, 1988, or as soon as
practicable, establish a preferred provider system for the delivery
of health care to plan participants by all health care providers,
which may include, but not be limited to, medical doctors,
chiropractors, physicians, osteopathic physicians, surgeons,
hospitals, clinics, nursing homes, pharmacies and pharmaceutical companies.
The director shall establish the terms of the preferred
provider system and the incentives therefor. The terms and
incentives may include multiyear renewal options as are not
prohibited by the constitution of this state and
capitated primary
care arrangements which are not subject to the provisions of
article twenty-five-a, chapter thirty-three of this code.
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(NOTE: The purpose of this bill is to clarify that the
Director of the Public Employees Insurance Agency is authorized to
enter into capitated provider arrangements for provision of primary
health care services.
Strike-throughs indicate language that would be stricken from
the present law, and underscoring indicates new language that would
be added.)
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