Commonwealth to issue health insurance, subscriber contracts,
certifications or plans that provide medical or health care
coverage by a health care facility or licensed health care
provider that is offered or governed under this act or any of
the following:
(1) The act of December 29, 1972 (P.L.1701, No.364),
known as the Health Maintenance Organization Act.
(2) The act of May 18, 1976 (P.L.123, No.54), known as
the Individual Accident and Sickness Insurance Minimum
Standards Act.
(3) 40 Pa.C.S. Chs. 61 (relating to hospital plan
corporations) and 63 (relating to professional health
services plan corporations).
"Hospital-owned physician practice." A physician practice
that meets both of the following:
(1) Provides health care services or other professional
medical services to an individual.
(2) Is any of the following:
(i) Owned or operated by a hospital.
(ii) Under joint control of a hospital.
(iii) A subsidiary of a hospital.
"Integrated delivery network." One or more entities with
common ownership, operation or control, which include both of
the following:
(1) One or more hospitals, one or more physician
practices or one or more health care providers offering
health care services.
(2) One or more entities operating as a health insurance
carrier offering health insurance, administering health
benefits, operating a health maintenance organization or
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