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| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
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| SENATE BILL |
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| INTRODUCED BY WARD, M. WHITE, BROWNE, D. WHITE AND ORIE, MARCH 25, 2011 |
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| REFERRED TO BANKING AND INSURANCE, MARCH 25, 2011 |
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| AN ACT |
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1 | Amending the act of March 20, 2002 (P.L.154, No.13), entitled |
2 | "An act reforming the law on medical professional liability; |
3 | providing for patient safety and reporting; establishing the |
4 | Patient Safety Authority and the Patient Safety Trust Fund; |
5 | abrogating regulations; providing for medical professional |
6 | liability informed consent, damages, expert qualifications, |
7 | limitations of actions and medical records; establishing the |
8 | Interbranch Commission on Venue; providing for medical |
9 | professional liability insurance; establishing the Medical |
10 | Care Availability and Reduction of Error Fund; providing for |
11 | medical professional liability claims; establishing the Joint |
12 | Underwriting Association; regulating medical professional |
13 | liability insurance; providing for medical licensure |
14 | regulation; providing for administration; imposing penalties; |
15 | and making repeals," further providing for the Medical Care |
16 | Availability and Reduction of Error Fund. |
17 | The General Assembly of the Commonwealth of Pennsylvania |
18 | hereby enacts as follows: |
19 | Section 1. Section 712(d) of the act of March 20, 2002 |
20 | (P.L.154, No.13), known as the Medical Care Availability and |
21 | Reduction of Error (Mcare) Act, is amended and the section is |
22 | amended by adding a subsection to read: |
23 | Section 712. Medical Care Availability and Reduction of Error |
24 | Fund. |
25 | * * * |
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1 | (d) Assessments.-- |
2 | (1) For calendar year 2003 and for each year thereafter, |
3 | the fund shall be funded by an assessment on each |
4 | participating health care provider. Assessments shall be |
5 | levied by the department on or after January 1 of each year. |
6 | The assessment shall be based on the prevailing primary |
7 | premium for each participating health care provider and |
8 | shall, in the aggregate, produce an amount [sufficient to do |
9 | all of the following] equal to the sum of the following |
10 | amounts minus the estimated fund balance at the close of the |
11 | calendar year preceding the assessment year: |
12 | (i) [Reimburse the fund for the payment of] The |
13 | reported claims which became final during the preceding |
14 | claims period. |
15 | (ii) [Pay] The expenses of the fund incurred during |
16 | the preceding claims period. |
17 | (iii) [Pay] The outstanding principal and interest |
18 | on moneys transferred into the fund in accordance with |
19 | section 713(c). |
20 | (iv) [Provide a reserve that shall be 10%] Ten |
21 | percent of the sum of subparagraphs (i), (ii) and (iii). |
22 | (2) The department shall notify all basic insurance |
23 | coverage insurers and self-insured participating health care |
24 | providers of the assessment by November 1 for the succeeding |
25 | calendar year. |
26 | (3) Any appeal of the assessment shall be filed with the |
27 | department. |
28 | (d.1) Payment of assessment.-- |
29 | (1) A basic coverage insurer shall bill and collect the |
30 | assessments on its insureds and remit collected assessments |
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1 | to the fund. The following deadlines shall apply, unless the |
2 | commissioner grants an extension by providing notice in the |
3 | Pennsylvania Bulletin: |
4 | (i) A basic coverage insurer shall bill the |
5 | assessment no later than 30 days after the inception date |
6 | or renewal date, as applicable, of the basic insurance |
7 | coverage policy. |
8 | (ii) A health care provider, professional |
9 | corporation, professional association and partnership |
10 | shall pay its assessment to its basic coverage insurer |
11 | within 60 days of the inception date or renewal date of |
12 | its basic insurance coverage policy or 30 days from |
13 | billing, whichever is later. |
14 | (iii) A basic coverage insurer shall remit collected |
15 | assessments to the fund within 60 days of the inception |
16 | date or renewal date, as applicable, of the basic |
17 | insurance coverage policy or within 30 days of receipt, |
18 | whichever is later. |
19 | (2) Except as provided in paragraph (3), a health care |
20 | provider, professional corporation, professional association |
21 | and partnership shall be provided basic insurance coverage |
22 | from the inception date or renewal date, as applicable, of |
23 | its basic insurance coverage policy, regardless of whether |
24 | its assessment has been remitted to the fund. |
25 | (3) A health care provider, professional corporation, |
26 | professional association or partnership that does not pay its |
27 | assessment to its basic coverage insurer within the time |
28 | frame set forth in paragraph (1)(ii) shall not be provided |
29 | basic insurance coverage for a claim unless its assessment |
30 | for the basic insurance coverage policy was paid prior to |
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1 | reasonable notice of the claim. |
2 | * * * |
3 | Section 2. The amendment or addition of section 712(d) and |
4 | (d.1) of the act is not intended to validate or refute any |
5 | position advanced by any party in proceedings challenging the |
6 | 2009, 2010 and 2011 assessments. The outcome of those |
7 | proceedings shall be based upon the statutory language in effect |
8 | at the time and appropriate indicia as to the legislative intent |
9 | of that language. |
10 | Section 3. This act shall take effect in 60 days. |
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