H.B. No. 0128

Health insurance-interstate purchase.

 

Sponsored By:     Representative(s) Simpson, Buchanan, Cohee, Goggles, Hammons, Illoway, Lubnau, Millin, Pedersen, Quarberg and Teeters and Senator(s) Coe and Peterson

 

AN ACT relating to health insurance; authorizing the sale in Wyoming of health insurance by out-of-state insurers as specified; p

 

2/10/2010   Bill Number Assigned

2/10/2010   H Received for Introduction

2/11/2010   H Introduced and Referred to H07

 

ROLL CALL

Ayes:  Representative(s) Anderson, R., Bagby, Barbuto, Berger, Blake, Blikre, Brechtel, Brown, Buchanan, Byrd, Cannady, Carson, Childers, Cohee, Connolly, Craft, Davison, Diercks, Edmonds, Esquibel, K., Gilmore, Gingery, Goggles, Hales, Hammons, Harshman, Harvey, Illoway, Jaggi, Kimble, Landon, Lubnau, Madden, McKim, McOmie, Miller, Millin, Moniz, Patton, Peasley, Pedersen, Petersen, Quarberg, Roscoe, Semlek, Shepperson, Simpson, Steward, Stubson, Teeters, Thompson, Wallis, Zwonitzer, Dn. and Zwonitzer, Dv.

Nays:  Representative(s) Jorgensen

Excused:  Representative(s) Hallinan, Philp and Throne

Conflicts:  Representative(s) Bonner and Lockhart

Ayes 54    Nays 1    Excused 3    Absent 0    Conflicts 2

 

2/18/2010   H07 Recommended Amend and Do Pass

 

ROLL CALL

Ayes:  Representative(s) Brown, Diercks, Illoway, Lubnau, Miller, Stubson and Zwonitzer, Dn.

Nays:  Representative(s) Hales and Kimble

Ayes 7    Nays 2    Excused 0    Absent 0    Conflicts 0

 

2/18/2010   H Placed on General File

 

HB0128HS001/ADOPTED

That Substitute No. 1 for HB0128 DO Pass.  ILLOWAY, CHAIRMAN

 

2/19/2010   H Passed CoW

 

HB0128H2001/ADOPTED

Page 19-line 16         After "article" insert "but shall be under no obligation to draft such rules and regulations until after March 15, 2011".  ILLOWAY

 

2/22/2010   H Passed 2nd Reading

 

HB0128H3001/ADOPTED

Page 3-line 14          Delete "disability insurance policy" insert "health benefit plan".

Page 3-line 15          Delete "W.S. 26-5-103" insert "W.S. 26‑19‑302(a)(xii)".

Page 3-line 18          Delete entirely.

Page 3-line 19          Delete entirely and insert "(ii)  "Health insurance," "health benefit plan" and "health benefit policy" mean a health benefit plan as defined by W.S. 26-19-302(a)(xii);". SIMPSON

 

2/23/2010   H Passed 3rd Reading

 

ROLL CALL

Ayes:  Representative(s) Anderson, R., Bagby, Barbuto, Berger, Blake, Blikre, Brechtel, Brown, Buchanan, Byrd, Cannady, Carson, Childers, Cohee, Connolly, Craft, Davison, Diercks, Edmonds, Esquibel, K., Gilmore, Gingery, Goggles, Hales, Hammons, Harshman, Harvey, Illoway, Jaggi, Kimble, Landon, Lubnau, Madden, McKim, McOmie, Miller, Millin, Moniz, Patton, Peasley, Pedersen, Petersen, Quarberg, Semlek, Shepperson, Simpson, Steward, Stubson, Teeters, Thompson, Throne, Wallis, Zwonitzer, Dn. and Zwonitzer, Dv.

Nays:  Representative(s) Jorgensen and Roscoe

Excused:  Representative(s) Hallinan and Philp

Conflicts:  Representative(s) Bonner and Lockhart

Ayes 54    Nays 2    Excused 2    Absent 0    Conflicts 2

 

2/24/2010   S Received for Introduction

2/24/2010   S Introduced and Referred to S10

2/26/2010   S10 Recommended Amend and Do Pass

 

ROLL CALL

Ayes:  Senator(s) Hunnicutt, Schiffer and Scott

Excused:  Senator(s) Hastert and Landen

Ayes 3    Nays 0    Excused 2    Absent 0    Conflicts 0

 

2/26/2010   S Placed on General File

 

HB0128SS001/ADOPTED  (TO ENGROSSED COPY)

Page 1-line 11          Delete "prescribing required disclaimers;".

Page 4–line 17          Delete "shall" insert "may".

Page 5–line 2           Delete "shall" insert "may".

Page 7-lines 1 through 23     Delete and renumber.

Page 8-lines 1 through 9            Delete.

Page 8–line 14          Delete "cooperate" insert "explore".

Page 8–line 15          Delete "in creating" insert "the creation of".

Page 8–line 16          Delete "in establishing" insert "that could establish".

Page 12-lines 23 and 24       Delete and renumber.

Page 13-lines 1 through 22    Delete.  SCOTT, CHAIRMAN

 

3/1/2010    S Passed CoW

 

HB0128S2001/ADOPTED  (TO ENGROSSED COPY)

Page 3-line 2           Delete "26-18-210" insert "26-18-209".

Page 8-lines 20 through 22  Delete, insert and renumber:

"(b)  The commissioners shall solicit the thoughts and report a consensus, where one exists, of the other commissioners interested in creating a consortium of like minded states in establishing rules of reciprocity for the approval of health insurance policies.  Issues to be considered include but are not limited to:

(i)  Whether the consortium should involve only high deductible individual policies, all comprehensive individual medical and surgical health insurance policies, both of these types of individual policies plus small group policies or all health insurance policies;

(ii)  Whether insurers should be free to price differently among consortium states dependent on local health care costs and market conditions;

(iii)  Whether a policy approved in a primary state shall be automatically available in all secondary states of the consortium, or available at the option of the insurer;

(iv)  In areas where an associated preferred provider network is Absent, whether sale of policies should be prohibited, disclaimers should be required or the sale of policies should be regulated only by market forces and conditions;

(v)  The adequacy for a multi-state consortium of existing state laws on insurer financial solvency, guarantee funds and imposition and collection of premium taxes;

(vi)  The authority of a secondary state to deal with customer complaints concerning a multi-state policy;

(vii)  Whether and when an insurer selling a policy approved in a primary state must notify the commissioner of a secondary state that the insurer is marketing the policy in the secondary state;

(viii)  Whether secondary state insurers, in order to sell competitive policies, may match any less restrictive primary state rules governing policies sold in the secondary state, and whether disclaimers to warn potential customers shall be required on policies and promotional materials in the secondary state;

(ix)  Whether any of the issues identified in this subsection require the enactment of uniform laws in the consortium states;

(x)  Estimated savings to customers from policy approval only in the primary state and from uniform or less restrictive policies across the consortium states;

(xi)  Other issues deemed appropriate by the commissioners to implement a multi-state consortium.

(c)  The commissioner shall make an initial proposal that Wyoming recommends the rules of approval for reciprocity should include terms and conditions to protect customers similar to the following:".

Page 9-line 21          Delete "the" insert "these".

Page 10-line 3          After "underwriting)," insert "benefit payment requirements,".

Page 11-line 2          Delete "an examination" insert "examinations".

Page 11-line 3          After "condition" delete balance of line and insert "in accordance with the policies and regulations established through the national association of insurance commissioners for accreditation of states to perform these examinations;".

Page 11-lines 4 through 12    Delete.

Page 12-lines 12 through 17   Delete and renumber.

Page 14-lines 1 through 17    Delete and renumber.

Page 15-lines 1 through 17    Delete and renumber.

Page 17-lines 11 through 19   Delete and renumber.

Page 18-lines 6 through 12    Delete and renumber.

Page 18-lines 14 through 22   Delete and renumber.

Page 19-line 11         Delete "adopt" insert "draft".

Page 19-line 14         After "2011." insert "The commissioner may adopt the rules provided they are consistent with the requirements of W.S. 26‑18‑206.".  SCOTT

 

3/2/2010    S Passed 2nd Reading

 

HB0128S3001/ADOPTED  (TO ENGROSSED COPY)

Page 4-line 6           Delete "such" insert "health insurance".

Page 4-line 23          Delete "any such" insert "the".

Page 5-line 10          Delete "such" insert "the".

Page 5-line 22          Delete "any such" insert "the"; after "with" delete "such".

Page 6-line 20          Delete "such".

Page 6-line 23          Delete "such" insert "the suspension or revocation".

Page 8-lines 20 through 22    In the Scott Second Reading Amendment (HB0128S2001/AE) to these lines, in subsection (b)(intro) created by that amendment, after "(b) The" delete "commissioners" insert "commissioner".

Page 9-line 3           Delete "such"; after "offers" insert "using that policy"; delete "Such an" insert "An".

Page 9-line 6           Delete "such a change" insert "a change in designation".

Page 9-line 8           Delete "such" insert "the".

Page 10-line 8          Delete "such" insert "the".

Page 10-line 9          Delete "such" insert "the".

Page 10-line 14         Delete "such".

Page 12-line 9          Delete "such" insert "the".  

Page 16-line 19         Delete "such" insert "the".

Page 16-line 20         Delete "such" insert "the".

Page 18-line 3          Delete "such" insert "that".

Page 19-line 13         Delete "such".  SCOTT

 

3/3/2010    S Passed 3rd Reading

 

ROLL CALL

Ayes:  Senator(s) Anderson, J., Bebout, Burns, Case, Coe, Cooper, Dockstader, Elliott, Esquibel, F., Geis, Hastert, Hines, Hunnicutt, Jennings, Johnson, Landen, Larson, Martin, Massie, Meier, Meyer, Nicholas, Perkins, Peterson, Ross, Schiffer, Scott, Sessions, Townsend and Von Flatern

Ayes 30    Nays 0    Excused 0    Absent 0    Conflicts 0

 

3/4/2010    H Received for Concurrence

3/4/2010    H Did Concur

 

ROLL CALL

Ayes:  Representative(s) Anderson, R., Bagby, Barbuto, Berger, Blake, Blikre, Brechtel, Brown, Buchanan, Byrd, Cannady, Carson, Childers, Cohee, Connolly, Craft, Davison, Diercks, Edmonds, Esquibel, K., Gilmore, Gingery, Goggles, Hales, Hammons, Harshman, Harvey, Illoway, Jaggi, Jorgensen, Kimble, Landon, Lubnau, Madden, McKim, McOmie, Miller, Millin, Moniz, Patton, Peasley, Pedersen, Petersen, Quarberg, Roscoe, Semlek, Shepperson, Simpson, Steward, Stubson, Teeters, Thompson, Throne, Wallis, Zwonitzer, Dn. and Zwonitzer, Dv.

Excused:  Representative(s) Hallinan and Philp

Conflicts:  Representative(s) Bonner and Lockhart

Ayes 56    Nays 0    Excused 2    Absent 0    Conflicts 2

 

3/4/2010    Assigned Number HEA No. 0061

3/5/2010    H Speaker Signed HEA No. 0061

3/5/2010    S President Signed HEA No. 0061

3/9/2010    Governor Signed HEA No. 0061

3/9/2010    Assigned Chapter Number

 

Chapter No. 0086  Session Laws of Wyoming 2010