Introduced by Representative Masland of Thetford
Subject: Health; health care education program
Statement of purpose: This bill proposes to establish a Vermont health care education program within the department of health to coordinate state and private health education programs.
AN ACT RELATING TO A HEALTH CARE EDUCATION PROGRAM
It is hereby enacted by the General Assembly of the State of Vermont:
Sec. 1. 8 V.S.A. § 4062 is amended to read:
§ 4062. Filing and approval of policy forms and
premiums; health education programs
No policy of health insurance or certificate under a policy not exempted by
subdivision 3368(a)(4) of this title shall be delivered or issued for delivery
in this state nor shall any endorsement, rider, or application which becomes a
part of any such policy be used, until a copy of the form, premium rates,
and rules for the classification of risks pertaining thereto have been filed
with the commissioner of banking, insurance, securities, and health care
administration; nor shall any such form, premium rate or rule be so used until
the expiration of
thirty 30 days after having been filed, unless
the commissioner shall sooner give his or her written approval thereto. The
commissioner shall notify in writing the insurer which has filed any such form,
premium rate, or rule if it contains any provision which is unjust,
unfair, inequitable, misleading, or contrary to the law of this state. In such
notice, the commissioner shall state that a hearing will be granted within twenty
20 days upon written request of the insurer. In all other cases, the
commissioner shall give his or her approval. After the expiration of such thirty
30 days from the filing of any such form, premium rate, or rule,
or at any time after having given written approval, the commissioner may, after
a hearing of which at least twenty days 20 days’ written notice
has been given to the insurer using such form, premium rate, or rule,
withdraw approval on any of the grounds stated in this section. Such The
disapproval shall be effected by written order of the commissioner which shall
state the ground for disapproval and the date, not less than thirty 30
days after such the hearing when the withdrawal of approval shall
(b) The department shall establish incentives through the approval of rates to encourage health insurers as defined in section 9402 of Title 18 to implement the health care education measures established in chapter 82A of Title 18.
Sec. 2. 18 V.S.A. chapter 82A is added to read:
CHAPTER 82A. HEALTH CARE EDUCATION PROGRAM
§ 4101. Vermont program for health care education
(a) The department of health shall establish the Vermont program for health care education.
(b) This program shall implement a statewide initiative to educate Vermonters about preventive health care and the importance of healthy lifestyles, including diet and exercise, and shall coordinate with and promote the objectives of the department’s chronic care initiative. The program shall provide the necessary educational materials to assist Vermonters with spending their health care dollars wisely and with making informed health care decisions, particularly regarding instances in which an illness may be treated safely and effectively with home-based care rather than professional care. In addition, the program shall educate Vermonters about unnecessary elective procedures and the availability of alternative methods of treatment.
(c)(1) The program shall encourage all health insurers, as defined in section 9402 of this title, to propose, develop, solicit, and implement health education programs and measures. Such programs and measures and their implementation may be approved by the department if it determines that they will be beneficial to the health of Vermonters.
(2) The department may contract with one or more entities to provide for the development, implementation, and monitoring of the program for health care education or health education programs and measures.
(d) Expenses incurred by the health care education program shall be borne as follows: 30 percent by the state from general fund monies; 30 percent by the hospitals; 15 percent by nonprofit hospital and medical service corporations licensed under chapter 123 or 125 of Title 8; and 25 percent by health insurance companies licensed under chapter 101 of Title 8 and health maintenance organizations licensed under chapter 139 of Title 8. Expenses allocated under this section to persons licensed under chapters 101 and 139 of Title 8 shall be billed based on premiums paid for health insurance coverage as defined in subsection 9415(b) of this title. Except for general fund monies, the department of banking, insurance, securities, and health care administration shall be responsible for billing and collecting for these expenses on behalf of the department of health.
Sec. 3. EFFECTIVE DATE
The health care education program shall be implemented on September 1, 2006. The department of health may hire personnel and establish the program upon passage.
The Vermont General Assembly
115 State Street