PRINTER'S NO. 4232
No. 2806 Session of 2002
INTRODUCED BY MACKERETH, KENNEY, BROWNE, TURZAI, ADOLPH,
M. BAKER, BARD, BEBKO-JONES, BELARDI, BELFANTI, BENNINGHOFF,
BIRMELIN, BISHOP, BOYES, BUNT, BUXTON, CALTAGIRONE, CAPPELLI,
CAWLEY, CIVERA, CLYMER, M. COHEN, COLAFELLA, COLEMAN,
CORNELL, CREIGHTON, CRUZ, CURRY, DAILEY, DALEY, DALLY,
DeLUCA, DERMODY, DeWEESE, DiGIROLAMO, EACHUS, FLEAGLE,
FORCIER, FRANKEL, FREEMAN, GABIG, GEIST, GEORGE, GODSHALL,
GRUCELA, GRUITZA, HARHAI, HARHART, HENNESSEY, HERMAN,
HERSHEY, HORSEY, JAMES, JOSEPHS, KELLER, KIRKLAND, KREBS,
LaGROTTA, LAUGHLIN, LEDERER, LEH, LESCOVITZ, LEVDANSKY,
LUCYK, MAITLAND, MAJOR, MANDERINO, MANN, MARKOSEK, MARSICO,
McGEEHAN, McNAUGHTON, MELIO, MICHLOVIC, S. MILLER, MUNDY,
MYERS, NAILOR, O'BRIEN, OLIVER, PETRARCA, PHILLIPS, PICKETT,
PIPPY, PISTELLA, PRESTON, READSHAW, ROEBUCK, ROONEY, ROSS,
RUBLEY, SANTONI, SATHER, SCAVELLO, SCHRODER, SCRIMENTI,
SHANER, B. SMITH, STABACK, STEELMAN, STERN, STETLER,
R. STEVENSON, T. STEVENSON, STRITTMATTER, STURLA, SURRA,
E. Z. TAYLOR, J. TAYLOR, THOMAS, TIGUE, TRAVAGLIO, TRELLO,
VEON, WALKO, WASHINGTON, WATSON, WILT, YOUNGBLOOD, YUDICHAK
AND ZUG, JULY 15, 2002
REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
JULY 15, 2002
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.
1 The following words and phrases when used in this act shall
2 have the meanings given to them in this section unless the
3 context clearly indicates otherwise:
4 "Carrier." The term means any of the following:
5 (1) A health insurer.
6 (2) A nonprofit health service plan.
7 (3) A health maintenance organization.
8 (4) A preferred provider organization.
9 (5) A third-party administrator.
10 (6) Any other entity that provides health benefit plans
11 subject to regulation by the Commonwealth.
12 Section 3. Required annual plan.
13 All carriers and health plans doing business in this
14 Commonwealth shall submit an annual alcohol and drug abuse and
15 dependency treatment plan which shall include, but not be
16 limited to:
17 (1) An estimate of prevalence of chemical dependency in
18 the subscriber pool.
19 (2) An estimate of the need for each type of alcohol and
20 other drug abuse and addiction treatment service and lengths
21 of stay in each year.
22 (3) A follow-up plan to ensure continuing care.
23 (4) An outreach plan setting goals to increase
24 identification and treatment of subscribers with alcohol and
25 other drug problems, methods of access to assessment and
26 treatment displaying timeliness and appropriateness for
27 handling alcohol and other drug-affected individuals.
28 (5) A proposed addiction treatment program network
29 demonstrating the full continuum of care, geographic
30 availability, cultural sensitivity and planning for special
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1 needs populations.
2 (6) A method to provide measures of performance within
3 each of these categories.
4 (7) An annual assessment of success in meeting each goal
5 established in the plan.
6 Section 4. Review of plans.
7 All plans submitted under section 3 shall be reviewed and
8 approved or disapproved within 90 days by the Insurance
9 Department and the Department of Health, Bureau of Drug and
10 Alcohol Programs and the Bureau of Managed Care.
11 Section 5. Report of plan reviews.
12 Copies of the review performed in section 4 shall be
13 submitted to the Health Care Unit of the Office of Attorney
14 General, the Public Health and Welfare Committee of the Senate
15 and the Health and Human Services Committee of the House of
16 Representatives and made available to the public.
17 Section 6. Effective date.
18 This act shall take effect July 1, 2002.
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