GENERAL ASSEMBLY OF NORTH CAROLINA

SESSION 1989

S	1 

SENATE BILL 1407

Short Title:  Utilization Review Fees.	(Public)
─────────────────────────────────────── 
Sponsors: Senator Johnson of Wake.
─────────────────────────────────────── 
Referred to:  Insurance.
─────────────────────────────────────── 

May 29, 1990

A BILL TO BE ENTITLED
AN ACT TO PROVIDE FOR A CERTIFICATION FILING FEE FOR INSURERS CONTRACTING WITH UTILIZATION REVIEW ORGANIZATIONS; TO PROVIDE FOR EXAMINATIONS OF SUCH INSURERS  AND ORGANIZATIONS; AND TO EXTEND THE RULES FOR UTILIZATION REVIEW STANDARDS TO WORKERS' COMPENSATION INSURERS AND MULTIPLE EMPLOYER WELFARE ARRANGEMENTS.
The General Assembly of North Carolina enacts:
Section 1.  G.S. 58-50-60 reads as rewritten:
"§ 58-50-60.  Rules, fees, and charges for utilization review.
(a)	This section applies to all insurers under Articles 1 through 64 of this Chapter, all third-party administrators and preferred provider arrangements, all entities subject to Articles 65 through 67 of this Chapter, all self-funded workers' compensation plans subject to G.S. 97-93, and all multiple employer welfare arrangements.
(b)	The Commissioner shall adopt reasonable rules governing utilization review practices and forms and utilization review organizations doing business with the entities subject to this section.
(c)	Each entity specified in subsection (a) of this section that is subject to rules adopted by the Commissioner pursuant to this section shall pay an annual, nonrefundable filing fee of fifty dollars ($50.00) whenever it files the certification required under those rules.
(d)	Each entity specified in subsection (a) of this section that is subject to rules adopted by the Commissioner pursuant to this section shall reimburse the Commissioner for expenses and compensation incurred by the Commissioner in visiting and examining or auditing the entity or the utilization review organization doing business with the entity."
Sec. 2.  This act is effective upon ratification.