FLOOR AMENDMENTS (JOANNOU) REJECTED BY HOUSE OF DELEGATES

1. Page 19, substitute, line 15, after shall

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not

2. Page 19, substitute, line 15, after effective

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unless reenacted by the 2000 Session of the General Assembly

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on July 1, 2000

3. Page 19, substitute

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all of lines 14 through 19

FLOOR AMENDMENTS (BRINK) REJECTED BY HOUSE OF DELEGATES

1. Page 6, substitute

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all of lines 28 and 29

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f. Maintain data on inquiries received, including demographic information regarding the covered individual on whose behalf the complaint was filed, the types of assistance required, any actions taken and the disposition of each such matter. All information shall be maintained in accordance with the confidentiality and disclosure laws of the Commonwealth.

2. Page 6, substitute, line 40, after year.

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Such report shall include an analysis of complaints and inquiries, including total number of complaints received, summary of resolutions achieved, and the geographical distribution of complaints.

3. Page 18, substitute

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all of lines 37, 38 and 39

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6. In conjunction with complaint and inquiry data maintained by the Bureau of Insurance, maintain data on inquiries received, including demographic information regarding the covered individual on whose behalf the complaint was filed, the types of assistance requested, any actions taken and the disposition of each such matter. All information shall be maintained in accordance with the confidentiality and disclosure laws of the Commonwealth.

4. Page 19, substitute, line 1, after year.

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Such report shall include an analysis of the complaint and inquiry database including total number of complaints received, summary of resolutions achieved, a listing of the plans against who complaints were received and the number of complaints per plan, and the geographical distribution of complaints.

5. Page 19, substitute, after line 2

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C. The Managed Care Ombudsman shall, in conjunction with the National Association of Insurance Commissioners and other interested entities, study the feasibility of adding to the complaint and inquiry database established under subdivision B 6 of § 38.2-5904 identification of the disease or condition that is the subject of a patient's complaint. The results of such study shall be included as part of the report to be submitted December 1, 1999, pursuant to subdivision B 11 of § 38.2-5904.

FLOOR AMENDMENT (MCEACHIN) REJECTED BY HOUSE OF DELEGATES

1. Page 18, substitute, line 6, after review.

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In addition to the recovery of such fees by the Commission, a person who was denied services by a managed care health insurance plan licensee may bring an action to recover damages for harm proximately caused by the failure to exercise reasonable care in denying such services by the managed care health insurance plan licensee or by its (i) employees, (ii) agents, or (iii) representatives who acted on its behalf and over whom it has a right to exercise influence or control or has actually exercised influence or control.

FLOOR AMENDMENTS (WILLIAMS) REJECTED BY HOUSE OF DELEGATES

1. Page 6, substitute, line 10, after benefit

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reductions

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changes

2. Page 10, substitute, line 41, after benefit

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reductions

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changes

FLOOR AMENDMENTS (TATE) REJECTED BY HOUSE OF DELEGATES

1. Page 3, substitute, line 35, after 2nd care

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as determined by the specialist

2. Page 3, substitute, line 48, after provide

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written notification

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an initial summary of proposed treatment as well as an annual summary of patient status

3. Page 3, substitute, line 49, after physician

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of any visits to such specialist

4. Page 3, substitute, line 50, after rendered

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at the time of the visit

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annually

5. Page 11, substitute, line 18, after care

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as determined by the specialist

6. Page 11, substitute, line 34, after provide

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written notification

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an initial summary of proposed treatment as well as an annual summary of patient status

7. Page 11, substitute, line 35, after physician

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of any visit to such specialist

8. Page 11, substitute, line 36, after rendered

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at the time of the visit

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annually