ENROLLED

COMMITTEE SUBSTITUTE

FOR

Senate Bill No. 557

(Senators Yost, Kessler (Mr. President), Fitzsimmons and Stollings, original sponsors)

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[Passed April 12, 2013; in effect from passage.]

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AN ACT to amend and reenact §16-2J-3 of the Code of West Virginia, 1931, as amended, relating to authorizing continued operation of certain pilot programs after expiration date; adding a reporting requirement; and resetting expiration date.

Be it enacted by the Legislature of West Virginia:

    That §16-2J-3 of the Code of West Virginia, 1931, as amended, be amended and reenacted to read as follows:

ARTICLE 2J. PREVENTIVE CARE PILOT PROGRAM.

§16-2J-3. Authorization of preventive care pilot program; number of participants and sites; Health Care Authority considerations in selection of participating providers; funding.

    (a) (1) The Health Care Authority shall, in consultation with the Insurance Commissioner, develop and implement during the fiscal year beginning July 1, 2006, a pilot program that permits providers to market and sell prepaid memberships entitling subscribers to obtain preventive and primary health care from the participating providers.

    (2) Participating providers shall not be allowed to offer their qualifying services at more than six separate sites.

    (3) The pilot program shall expire on June 30, 2016.

    (4) Those providers participating in the pilot program as of its expiration date may continue to operate pursuant to this article.

    (5) The Health Care Authority shall report to the Legislative Oversight Commission on Health and Human Resources Accountability on the pilot program by December 1, 2015.

    (b) Subject to this article, the Health Care Authority is vested with discretion to select providers using diversity in practice organization, geographical diversity and other criteria it deems appropriate. The Health Care Authority also shall give consideration to providers located in rural areas or serving a high percentage or large numbers of uninsured.

    (c) In furtherance of the objectives of this article, the Health Care Authority is authorized to accept any and all gifts, grants and matching funds whether in the form of money or services. However, no gifts, grants and matching funds shall be provided to the Health Care Authority by the State of West Virginia to further the objectives of this article.