HB4176 H H&HR AM 2-3
The Committee on Health and Human Resources moves to amend the
bill on page six, section three, line eleven, following the word
"article" and the period by adding the following:
"§16-1A-4. Advisory committee.
(a) The Secretary of the Department of Health and Human
Resources and the Insurance Commissioner shall jointly establish an
advisory committee to assist them in the development and
implementation of the uniform credentialing process in this state.
The advisory committee shall consist of thirteen fourteen appointed
members. Six members shall be appointed by the Secretary of the
Department of Health and Human Resources: One member shall
represent a hospital with one hundred beds or less; one member
shall represent a hospital with more than one hundred beds; one
member shall represent another type of health care facility
requiring credentialing; one member shall be a person currently
credentialing on behalf of health care practitioners; and two of
the members shall represent the health care practitioners subject
to credentialing. Five members shall be representative of the
entities regulated by the Insurance Commissioner that require
credentialing and shall be appointed by the Insurance Commissioner:
One member shall represent an indemnity health care insurer; one
member shall represent a preferred provider organization; one
member shall represent a third party administrator; one member
shall represent a health maintenance organization accredited by
URAC; and one member shall represent a health maintenance organization accredited by the national committee on quality
assurance. The Secretary of the Department of Health and Human
Resources and the Insurance Commissioner, or the designee of either
or both, shall be nonvoting ex officio members. Upon the effective
date of this legislation, the state hospital association, the state
association of licensing boards and state medical association shall
each designate to the department one person to represent their
respective associations and members and those designees shall be
appointed to the advisory committee by the secretary of the
department.
(b) At the expiration of the initial terms, successors will be
appointed to terms of three years. Members may serve an unlimited
number of terms. When a vacancy occurs as a result of the
expiration of a term or otherwise, a successor of like
qualifications shall be appointed. Representatives of the hospital
association, the association of licensing boards and the state
medical associations association shall serve for three-year terms.
(c) The advisory committee shall meet at least annually to
review the status of uniform credentialing in this state, and may
make further recommendations to the Secretary of the Department of
Health and Human Resources and the Insurance Commissioner as are
necessary to carry out the purposes of this article. Any uniform
forms and the list of health care practitioners required to use the
uniform forms as set forth in legislative rule proposed pursuant to
section two of this article may be amended as needed by procedural
rule."; and
On page thirteen, section ten, line ten, by inserting the
following:
"This article shall not be interpreted as requiring a
credentialing entity as defined in this article, to grant medical
staff appointment to any practitioner nor shall it be interpreted
as requiring a credentialing entity to permit any practitioner to
provide patient care or as requiring a payor or network to
reimburse a practitioner for services."
The House Health and Human Resource Committee further moves to
amend the enacting section to read as follows:
"
That §16-1A-1, §16-1A-2, §16-1A-3,§16-1A-4 and §16-1A-5 of
the Code of West Virginia, 1931, as amended, be amended and
reenacted; and that said code be amended by adding thereto five new
sections, designated §16-1A-6, §16-1A-7, §16-1A-8, §16-1A-9 and
§16-1A-10, all to read as follows:"