South Carolina House Bill 3875 (Prior Session Legislation)

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Spectrum: Partisan Bill (Republican 2-0)
Status: Introduced on April 2 2009 - 25% progression, died in committee
Action: 2009-04-02 - Referred to Committee on Labor, Commerce and Industry HJ-32
Pending: House Labor, Commerce and Industry Committee

A BILL TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING CHAPTER 60 TO TITLE 38 SO AS TO ENACT THE "SOUTH CAROLINA HEALTHNET PROGRAM"; TO PROVIDE FOR THE CREATION OF A FIVE-YEAR PILOT PROGRAM TO PROMOTE THE AVAILABILITY OF HEALTH INSURANCE COVERAGE TO EMPLOYEES OF SMALL EMPLOYER GROUPS AND HEALTH GROUP COOPERATIVES REGARDLESS OF HEALTH STATUS OR CLAIMS EXPERIENCE, ESTABLISH RULES REGARDING RENEWAL OF COVERAGE, LIMITATIONS ON THE USE OF PREEXISTING CONDITIONS EXCLUSIONS, ASSURE FAIR ACCESS TO HEALTH PLANS AND IMPROVE OVERALL FAIRNESS AND EFFICIENCY OF THE SMALL GROUP HEALTH INSURANCE MARKET; TO PROVIDE FOR DEFINITIONS; TO PROVIDE FOR THE COMPOSITION AND AUTHORITY OF THE BOARD OF DIRECTORS; TO PROVIDE FAIR MARKETING STANDARDS; TO PROVIDE FOR THE ESTABLISHMENT OF CRITERIA FOR PLAN ADMINISTRATION IN THE PLAN OF OPERATION; TO PROVIDE FOR RATES; TO PROVIDE FOR PROVIDER PARTICIPATION; TO PROVIDE FOR THE APPLICABILITY AND SCOPE OF THE CHAPTER; TO PROVIDE THAT SMALL GROUP HEALTH INSURERS SHALL OFFER AND MARKET PLANS DEVELOPED BY THE SOUTH CAROLINA HEALTHNET PROGRAM; TO PROVIDE FOR HEALTH BENEFIT PLAN STANDARDS; TO PROVIDE FOR ELIGIBILITY STANDARDS AND PROVIDE EXCEPTIONS; TO PROVIDE FOR TERMINATION AND NONRENEWAL OF COVERAGE; TO PROVIDE FOR CLAIMS DATA TO BE REPORTED TO THE PROGRAM; TO REQUIRE THE BOARD TO SUBMIT A REPORT REGARDING THE IMPLEMENTATION OF THE PROGRAM; AND TO AUTHORIZE THE DIRECTOR OF THE STATE DEPARTMENT OF INSURANCE TO PROMULGATE REGULATIONS TO IMPLEMENT THE PROVISIONS OF CHAPTER 60, TITLE 38 ADDED BY THIS ACT.

Enact The "south Carolina Healthnet Program"; To Provide For The Creation Of A Five-year Pilot Program To Promote The Availability Of Health Insurance Coverage To Employees Of Small Employer Groups And Health Group Cooperatives Regardless Of Health Status Or Claims Experience, Establish Rules Regarding Renewal Of Coverage, Limitations On The Use Of Preexisting Conditions Exclusions, Assure Fair Access To Health Plans And Improve Overall Fairness And Efficiency Of The Small Group Health Insurance Market; To Provide For Definitions; To Provide For The Composition And Authority Of The Board Of Directors; To Provide Fair Marketing Standards; To Provide For The Establishment Of Criteria For Plan Administration In The Plan Of Operation; To Provide For Rates; To Provide For Provider Participation; To Provide For The Applicability And Scope Of The Chapter; To Provide That Small Group Health Insurers Shall Offer And Market Plans Developed By The South Carolina Healthnet Program; To Provide For Health Benefit Plan Standards; To Provide For Eligibility Standards And Provide Exceptions; To Provide For Termination And Nonrenewal Of Coverage; To Provide For Claims Data To Be Reported To The Program; To Require The Board To Submit A Report Regarding The Implementation Of The Program; And To Authorize The Director Of The State Department Of Insurance To Promulgate Regulations To Implement The Provisions Of Chapter 60, Title 38 Added By This Act.

Rep. Harry Cato [R]

Sen. Rex Rice [R]

Date	Chamber	Action
2009-04-02		Referred to Committee on Labor, Commerce and Industry HJ-32
2009-04-02		Introduced and read first time HJ-32

S0201 (Similar To) 2009-01-13 - Referred to Committee on Banking and Insurance SJ-165
S0455 (Similar To) -

Type	Source
Summary	https://www.scstatehouse.gov/cgi-bin/web_bh10.exe?bill1=3875&session=118