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                                                      PRINTER'S NO. 3740

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 2124 Session of 2008


        INTRODUCED BY SCHRODER, BIANCUCCI, BOYD, CAPPELLI, DENLINGER,
           EVERETT, GINGRICH, GRELL, HENNESSEY, KENNEY, MACKERETH,
           McILVAINE SMITH, R. MILLER, MURT, RAPP, ROAE, SAYLOR, STERN
           AND TURZAI, MAY 12, 2008

        REFERRED TO COMMITTEE ON INSURANCE, MAY 12, 2008

                                     AN ACT

     1  Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An
     2     act relating to insurance; amending, revising, and
     3     consolidating the law providing for the incorporation of
     4     insurance companies, and the regulation, supervision, and
     5     protection of home and foreign insurance companies, Lloyds
     6     associations, reciprocal and inter-insurance exchanges, and
     7     fire insurance rating bureaus, and the regulation and
     8     supervision of insurance carried by such companies,
     9     associations, and exchanges, including insurance carried by
    10     the State Workmen's Insurance Fund; providing penalties; and
    11     repealing existing laws," further providing for legislative
    12     findings and intent, for definitions, for children's health
    13     care and for outreach.

    14     The General Assembly of the Commonwealth of Pennsylvania
    15  hereby enacts as follows:
    16     Section 1.  Section 2302 of the act of May 17, 1921 (P.L.682,
    17  No.284), known as The Insurance Company Law of 1921, is amended
    18  by adding a paragraph to read:
    19     Section 2302.  Legislative Findings and Intent.--The General
    20  Assembly finds and declares as follows:
    21     * * *
    22     (10)  The Children's Health Insurance Program is defined as


     1  an insurance product and, as such, must have marketing performed
     2  consistently with Article VI-A, Subarticle A, Division 1 of the
     3  act of May 17, 1921 (P.L.789, No.285), known as "The Insurance
     4  Department Act of 1921," the act of July 22, 1974 (P.L.589,
     5  No.205), known as the "Unfair Insurance Practices Act," and
     6  other laws governing the sale, solicitation and negotiation of
     7  contracts of insurance.
     8     Section 2.  Section 2303 of the act is amended by adding a
     9  definition to read:
    10     Section 2303.  Definitions.--As used in this article, the
    11  following words and phrases shall have the meanings given to
    12  them in this section:
    13     * * *
    14     "Producer."  A person that sells, solicits or negotiates
    15  contracts of insurance.
    16     * * *
    17     Section 3.  Section 2311(i) of the act, amended November 2,
    18  2006 (P.L.1314, No.136), is amended to read:
    19     Section 2311.  Children's Health Care.--* * *
    20     (i)  The Children's Health Advisory Council is established
    21  within the department as an advisory council. The following
    22  shall apply:
    23     (1)  The council shall consist of [fourteen] fifteen voting
    24  members. Members provided for in subparagraphs (iv), (v), (vi),
    25  (vii), (viii), (x) [and], (xi) and (xii) shall be appointed by
    26  the Insurance Commissioner. The council shall be geographically
    27  balanced on a Statewide basis and shall include:
    28     (i)  The Secretary of Health ex officio or a designee.
    29     (ii)  The Insurance Commissioner ex officio or a designee.
    30     (iii)  The Secretary of Public Welfare ex officio or a
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     1  designee.
     2     (iv)  A representative with experience in children's health
     3  from a school of public health located in this Commonwealth.
     4     (v)  A physician with experience in children's health
     5  appointed from a list of three qualified persons recommended by
     6  the Pennsylvania Medical Society.
     7     (vi)  A representative of a children's hospital or a hospital
     8  with a pediatric outpatient clinic appointed from a list of
     9  three persons submitted by the Hospital Association of
    10  Pennsylvania.
    11     (vii)  A parent of a child who receives primary health care
    12  coverage from the fund.
    13     (viii)  A mid-level professional appointed from lists of
    14  names recommended by Statewide associations representing mid-
    15  level health professionals.
    16     (ix)  A senator appointed by the President pro tempore of the
    17  Senate, a senator appointed by the minority leader of the
    18  Senate, a representative appointed by the Speaker of the House
    19  of Representatives and a representative appointed by the
    20  minority leader of the House of Representatives.
    21     (x)  A representative from a private nonprofit foundation.
    22     (xi)  A representative of business who is not a contractor or
    23  provider of primary health care insurance under this
    24  subdivision.
    25     (xii)  A licensed insurance producer representing a
    26  professional association of insurance producers whose members
    27  sell, solicit or negotiate contracts of health insurance.
    28     (2)  If any specified organization should cease to exist or
    29  fail to make a recommendation within ninety (90) days of a
    30  request to do so, the council shall specify a new equivalent
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     1  organization to fulfill the responsibilities of this section.
     2     (3)  The Insurance Commissioner shall chair the council. The
     3  members of the council shall annually elect, by a majority vote
     4  of the members, a vice chairperson from among the members of the
     5  council.
     6     (4)  The presence of eight members shall constitute a quorum
     7  for the transacting of any business. Any act by a majority of
     8  the members present at any meeting at which there is a quorum
     9  shall be deemed to be that of the council.
    10     (5)  All meetings of the council shall be conducted pursuant
    11  to 65 Pa.C.S. Ch. 7 (relating to open meetings) unless otherwise
    12  provided in this section. The council shall meet at least
    13  annually and may provide for special meetings as it deems
    14  necessary. Meeting dates shall be set by a majority vote of
    15  members of the council or by call of the chairperson upon seven
    16  (7) days' notice to all members. The council shall publish
    17  notice of its meetings in the Pennsylvania Bulletin. Notice
    18  shall specify the date, time and place of the meeting and shall
    19  state that the council's meetings are open to the general
    20  public. All action taken by the council shall be taken in open
    21  public session and shall not be taken except upon a majority
    22  vote of the members present at a meeting at which a quorum is
    23  present.
    24     (6)  The members of the council shall not receive a salary or
    25  per diem allowance for serving as members of the council but
    26  shall be reimbursed for actual and necessary expenses incurred
    27  in the performance of their duties.
    28     (7)  Terms of council members shall be as follows:
    29     (i)  The appointed members shall serve for a term of three
    30  (3) years and shall continue to serve thereafter until their
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     1  successors are appointed.
     2     (ii)  An appointed member shall not be eligible to serve more
     3  than two full consecutive terms of three (3) years. Vacancies
     4  shall be filled in the same manner in which they were designated
     5  within sixty (60) days of the vacancy.
     6     (iii)  An appointed member may be removed by the appointing
     7  authority for just cause and by a vote of at least seven members
     8  of the council.
     9     (8)  The council shall review outreach activities and may
    10  make recommendations to the department.
    11     (9)  The council shall review and evaluate the accessibility
    12  and availability of services delivered to children enrolled in
    13  the program.
    14     * * *
    15     Section 4.  Section 2312 of the act is amended by adding a
    16  subsection to read:
    17     Section 2312.  Outreach.--* * *
    18     (c)  Moneys included in outreach activities shall be
    19  available to pay a one-time commission as determined by the
    20  department to insurance producers who forward applications for
    21  the Children's Health Insurance Program, if a policy is issued
    22  pursuant to an application submitted by an insurance producer to
    23  a contractor. The amount of the commission shall be determined
    24  by the department on an annual basis.
    25     Section 5.  This act shall take effect in 60 days.




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