Budget Amendment ID: FY2016-S3-931

EHS 931

Municipal Healthcare Market

Mr. Downing moved that the proposed new text be amended by inserting after section 29 the following section:-

“SECTION XX.  Section 19 of chapter 32B of the General Laws is hereby amended by striking out, in lines 183 to 186, inclusive, the words “at either 3 or 6-year intervals from the date of transfer of subscribers to the commission, as determined by the written agreement which shall specify the withdrawal interval and” and inserting in place thereof the following words:- "after an initial 3-year period from the date of transfer of subscribers to the commission, or biennially thereafter, as determined by the written agreement, which shall specify the".

Said section 19 of said chapter 32B, as so appearing, is hereby further amended by striking out, in line 196, the word “October” and inserting in place thereof the following word:- December.

Said section 19 of said chapter 32B, as so appearing, is hereby further amended by inserting after the figure “32A”, in line 225, the following:- ; provided, that in order to facilitate a request from a political subdivision for its claims history under this section, the commission shall maintain separate files for the claims information of each political subdivision. Upon written request by the mayor, town manager or the public employee committee of a political subdivision, the commission shall provide the political subdivision with its claims history from the previous year, which shall include, but not be limited to, the following information: monthly claims history, monthly enrollment, large loss claims, benefit changes and a census of enrollees by gender and zip code. The commission may charge a fee for providing the data in an amount determined by the executive director, which shall not be greater than $1,000. The commission shall provide a detailed data response to such request within 60 days.

Section 23 of said chapter 32B, as so appearing, is hereby amended by striking out, in lines 38 and 39, the words “at 3 year intervals from the date of transfer of subscribers to the commission” and inserting in place thereof the following words:- upon the expiration of an initial 3-year period from the date of transfer of subscribers to the commission, or biennially thereafter.

Said section 23 of said chapter 32B, as so appearing, is hereby further amended by striking out, in line 41, the word “October” and inserting in place thereof the following word:- December.

Said section 23 of said chapter 32B, as so appearing, is hereby further amended by inserting after the figure “32A”, in line 68, the following:- ; provided that, in order to facilitate a request from a political subdivision for its claims history under this section, the commission shall maintain separate files for the claims information of each political subdivision. Upon written request by the mayor, town manager or the public employee committee of a political subdivision, the commission shall provide the political subdivision with its claims history from the previous year, which shall include, but not be limited to, the following information: monthly claims history, monthly enrollment, large loss claims, benefit changes and a census of enrollees by gender and zip code. The commission may charge a fee for providing the data in an amount determined by the executive director, which shall not be greater than $1,000. The commission shall provide a detailed data response to such request within 60 days.”