|TO:||Issuers Offering Medicare Supplemental Insurance Health Maintenance Organizations (HMOs) Offering Medicare Managed Care Plans|
|FROM:||Linda Ruthardt, Commissioner of Insurance|
|DATE:||September 8, 2000|
|RE:||Certain New Requirements for the Oversight of Managed Care|
|This bulletin is to inform carriers of certain provisions of Chapter 141 of the Acts of 2000 (Chapter 141), which was signed into law on July 21, 2000. Among its provisions, Chapter 141 directs changes to the delivery of managed care in Massachusetts and creates new oversight bureaus within existing state agencies.|
Chapter 141 establishes new procedures for the licensing of Health Maintenance Organizations (HMOs) under M.G.L. c. 176G and creates M.G.L. c. 176O (Chapter 176O) to be jointly enforced by the newly created Managed Care Bureau (MCB) within the Division of Insurance and the Office of Patient Protection (OPP) within the Department of Public Health. Chapter 176O includes the following provisions:
In addition, Chapter 141 authorizes the following agencies to take actions that may affect carriers offering health coverage in Massachusetts:
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