Legislature(2011 - 2012)
2012-04-15 House Journal
Full Journal pdf2012-04-15 House Journal Page 2541 HB 218 A message dated April 15, 2012, was read stating the Senate passed: CS FOR HOUSE BILL NO. 218(L&C) "An Act prohibiting an insurer from using a drug formulary system of specialty tiers under certain circumstances; and providing for an effective date." with the following amendment, and it is transmitted for consideration: CS FOR HOUSE BILL NO. 218(L&C) am S "An Act prohibiting an insurer from using a drug formulary system of specialty tiers under certain circumstances; relating to a reinsurance program reinsuring residents who are high risks; and providing for an effective date." (SCR 41 - title change resolution) The message further stated that under Rule 43(b) of the Uniform Rules engrossment had been waived and the following certified amendment was attached: Certified Amendment No. 1: Page 1, line 2, following "circumstances;" (title amendment): Insert "relating to a reinsurance program reinsuring residents who are high risks;" Page 1, line 6, following "FINDINGS": Insert "FOR SECTION 3" Page 2, line 14: Delete "This" Insert "Section 3 of this" Page 2, following line 29: Insert new bill sections to read: 2012-04-15 House Journal Page 2542 "* Sec. 4. AS 21.55.220(c) is amended to read: (c) Each member of the association shall share the losses due to claims expenses of the state plans issued or approved for issuance by the association; each member of the association shall share the losses of a reinsurance program established by regulations adopted under AS 21.55.400 reinsuring residents who are high risks; [,] and each member of the association shall share in the operating and administrative expenses incurred or estimated to be incurred by the association incident to the conduct of its affairs. Claims expenses of the state plan that exceed the premium payments allocated to the payment of benefits shall be the liability of the members. Each member shall share in the claims expense of the state plans, the [AND] operating and administrative expenses of the association, and the losses of a reinsurance program established by regulations adopted under AS 21.55.400 reinsuring residents who are high risks, in an amount equal to the ratio of the member's total major medical premiums, received from or on behalf of state residents, as divided by the total major medical premiums received by all members from or on behalf of state residents, as determined by the director. * Sec. 5. AS 21.55.400 is amended to read: Sec. 21.55.400. Duties of director. The director may (1) approve the selection of the plan administrator by the association and approve the association's contract with the plan administrator, including the coverages and premiums to be charged; (2) contract with the federal government or another unit of government to ensure coordination of the state plans with other governmental assistance programs; (3) undertake, directly or through contracts with other persons, studies or demonstration programs to develop awareness of the benefits of this chapter; and (4) formulate general policy and adopt regulations, including regulations establishing a reinsurance program reinsuring residents who are high risks, that are reasonably necessary to administer this chapter." Renumber the following bill sections accordingly. CSHB 218(L&C) is under Unfinished Business.