PRINTER'S NO. 1023
No. 866 Session of 2003
INTRODUCED BY MACKERETH, KENNEY, TURZAI, LEDERER, ADOLPH, BAKER,
BELARDI, BELFANTI, BENNINGHOFF, BISHOP, BOYES, BROWNE,
BUXTON, CIVERA, CLYMER, CORNELL, CREIGHTON, CURRY, DALLY,
DeWEESE, DiGIROLAMO, EACHUS, GEIST, GEORGE, HARHAI, HARHART,
HERMAN, HORSEY, JOSEPHS, KELLER, LaGROTTA, LAUGHLIN,
MAITLAND, MANDERINO, MANN, MARSICO, McNAUGHTON, MELIO,
S. MILLER, MUNDY, NAILOR, OLIVER, PISTELLA, REICHLEY, ROSS,
RUBLEY, SANTONI, SATHER, SCAVELLO, SCHRODER, SHANER,
B. SMITH, STABACK, STERN, STURLA, SURRA, E. Z. TAYLOR,
J. TAYLOR, THOMAS, TIGUE, TRUE, WATSON, YOUNGBLOOD AND
YUDICHAK, MARCH 13, 2003
REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
MARCH 13, 2003
AN ACT
1 Establishing annual performance standards for the provision of
2 alcohol and drug abuse and dependency treatment.
3 The General Assembly of the Commonwealth of Pennsylvania
4 hereby enacts as follows:
5 Section 1. Short title.
6 This act shall be known and may be cited as the Alcohol and
7 Drug Abuse and Dependency Treatment Standards Act.
8 Section 2. Definitions.
9 The following words and phrases when used in this act shall
10 have the meanings given to them in this section unless the
11 context clearly indicates otherwise:
12 "Carrier." The term means any of the following:
13 (1) A health insurer.
1 (2) A nonprofit health service plan.
2 (3) A health maintenance organization.
3 (4) A preferred provider organization.
4 (5) A third-party administrator.
5 (6) Any other entity that provides health benefit plans
6 subject to regulation by the Commonwealth.
7 Section 3. Required annual plan.
8 All carriers and health plans doing business in this
9 Commonwealth shall submit an annual alcohol and drug abuse and
10 dependency treatment plan which shall include, but not be
11 limited to:
12 (1) An estimate of prevalence of chemical dependency in
13 the subscriber pool.
14 (2) An estimate of the need for each type of alcohol and
15 other drug abuse and addiction treatment service and lengths
16 of stay in each year.
17 (3) A follow-up plan to ensure continuing care.
18 (4) An outreach plan setting goals to increase
19 identification and treatment of subscribers with alcohol and
20 other drug problems, methods of access to assessment and
21 treatment displaying timeliness and appropriateness for
22 handling alcohol and other drug-affected individuals.
23 (5) A proposed addiction treatment program network
24 demonstrating the full continuum of care, geographic
25 availability, cultural sensitivity and planning for special
26 needs populations.
27 (6) A method to provide measures of performance within
28 each of these categories.
29 (7) An annual assessment of success in meeting each goal
30 established in the plan.
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1 Section 4. Review of plans.
2 All plans submitted under section 3 shall be reviewed and
3 approved or disapproved within 90 days by the Insurance
4 Department and the Department of Health, Bureau of Drug and
5 Alcohol Programs and the Bureau of Managed Care.
6 Section 5. Report of plan reviews.
7 Copies of the review performed in section 4 shall be
8 submitted to the Health Care Unit of the Office of Attorney
9 General, the Public Health and Welfare Committee of the Senate
10 and the Health and Human Services Committee of the House of
11 Representatives and made available to the public.
12 Section 6. Effective date.
13 This act shall take effect in 60 days.
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