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    Document Summary
    - Report Published -

    Senate Document No. 23
    PUBLICATION YEAR 1995

    Document Title
    Health Care Market Statute

    Author
    Joint Commission on Health Care

    Enabling Authority
    SJR 158 (Regular Session, 1994)

    Executive Summary
    Senate Joint Resolution (SJR) 158, which was passed by the 1994 Session of the General Assembly, directs the Joint Commission on Health Care, in cooperation with the Bureau of Insurance and other state agencies and private groups, to study the impact of subsection B of 38.2-3407 of the Code of Virginia on the Commonwealth's health care market. This statute, which is commonly referred to as the "preferred provider organization" (PPO) statute, permits insurers to establish PPO programs. Subsection B of the statute, which requires insurers to accept into their preferred provider networks and provider willing to meet the terms and conditions offered to it or him/her, is referred to as the "any willing provider" provision.

    Specifically, SJR 158 directs the Joint Commission to study the impact of this statute on: (i) the Commonwealth's efforts to contain costs, (ii) the quality of health care provided in the Commonwealth, and (iii) competition in the marketplace among health care providers.