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                                                      PRINTER'S NO. 1275

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1115 Session of 1989


        INTRODUCED BY COY, MILLER, COLE, DAVIES AND HERMAN,
           APRIL 11, 1989

        REFERRED TO COMMITTEE ON INSURANCE, APRIL 11, 1989

                                     AN ACT

     1  Amending Title 40 (Insurance) of the Pennsylvania Consolidated
     2     Statutes, adding provisions relating to actions of
     3     administrative agencies for professional health service
     4     corporations and standing to participate.

     5     The General Assembly of the Commonwealth of Pennsylvania
     6  hereby enacts as follows:
     7     Section 1.  Chapter 63 of Title 40 of the Pennsylvania
     8  Consolidated Statutes is amended by adding a subchapter to read:
     9                             CHAPTER 63
    10                 PROFESSIONAL HEALTH SERVICES PLAN
    11                            CORPORATIONS
    12                               * * *
    13                            SUBCHAPTER C
    14                   PROVISIONS FOR DENTAL SERVICES
    15  Sec.
    16  6341.  Rate and contract participation.
    17  § 6341.  Rate and contract participation.
    18     (a)  Notice of hearings.--All decisions, rulings,


     1  adjudications, approvals and other actions of the Department of
     2  Health and the Insurance Department, relating to the activities
     3  of a professional health service corporation involving a dental
     4  plan, shall be made only after publication in the Pennsylvania
     5  Bulletin of notice of opportunity for hearing.
     6     (b)  Standing.--Any dentist or dentists personally aggrieved
     7  by a proposed action of a professional health service
     8  corporation involving a dental plan or any State or local
     9  professional dental society shall be deemed a full party in
    10  interest and have standing and a right to participate in any
    11  proceeding under this chapter and shall have the right upon
    12  request to a formal administrative hearing.
    13     Section 2.  This act shall take effect immediately.












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