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| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
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| HOUSE BILL |
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| INTRODUCED BY MICOZZIE, DeLUCA, GROVE, FABRIZIO, BENNINGHOFF, CALTAGIRONE, GEIST, GINGRICH, HORNAMAN, KORTZ, MILNE, MUNDY, READSHAW, STURLA AND VULAKOVICH, MARCH 3, 2011 |
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| REFERRED TO COMMITTEE ON INSURANCE, MARCH 3, 2011 |
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| AN ACT |
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1 | Amending the act of March 20, 2002 (P.L.154, No.13), entitled |
2 | "An act reforming the law on medical professional liability; |
3 | providing for patient safety and reporting; establishing the |
4 | Patient Safety Authority and the Patient Safety Trust Fund; |
5 | abrogating regulations; providing for medical professional |
6 | liability informed consent, damages, expert qualifications, |
7 | limitations of actions and medical records; establishing the |
8 | Interbranch Commission on Venue; providing for medical |
9 | professional liability insurance; establishing the Medical |
10 | Care Availability and Reduction of Error Fund; providing for |
11 | medical professional liability claims; establishing the Joint |
12 | Underwriting Association; regulating medical professional |
13 | liability insurance; providing for medical licensure |
14 | regulation; providing for administration; imposing penalties; |
15 | and making repeals," in insurance, further providing for the |
16 | Medical Care Availability and Reduction of Error Fund. |
17 | The General Assembly of the Commonwealth of Pennsylvania |
18 | hereby enacts as follows: |
19 | Section 1. Section 712(d) of the act of March 20, 2002 |
20 | (P.L.154, No.13), known as the Medical Care Availability and |
21 | Reduction of Error (Mcare) Act, is amended to read: |
22 | Section 712. Medical Care Availability and Reduction of Error |
23 | Fund. |
24 | * * * |
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1 | (d) Assessments.-- |
2 | (1) For calendar year 2003 [and for each year |
3 | thereafter] through 2011, the fund shall be funded by an |
4 | assessment on each participating health care provider. |
5 | Assessments shall be levied by the department on or after |
6 | January 1 of each year. The assessment shall be based on the |
7 | prevailing primary premium for each participating health care |
8 | provider and shall, in the aggregate, produce an amount |
9 | sufficient to do all of the following: |
10 | (i) Reimburse the fund for the payment of reported |
11 | claims which became final during the preceding claims |
12 | period. |
13 | (ii) Pay expenses of the fund incurred during the |
14 | preceding claims period. |
15 | (iii) Pay principal and interest on moneys |
16 | transferred into the fund in accordance with section |
17 | 713(c). |
18 | (iv) Provide a reserve that shall be 10% of the sum |
19 | of subparagraphs (i), (ii) and (iii). |
20 | (1.1) For calendar year 2012 and each year thereafter, |
21 | the fund shall be funded by an annual assessment on each |
22 | participating health care provider. Assessments shall be |
23 | levied by the department after December 31. The assessment |
24 | shall be based on the prevailing primary premium for each |
25 | participating health care provider and shall, in the |
26 | aggregate, produce an amount equal to the sum of the |
27 | following amounts minus the projected fund balance at the |
28 | close of the calendar year preceding the assessment year: |
29 | (i) The reported claims which became final during |
30 | the preceding claims period. |
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1 | (ii) The expenses of the fund incurred during the |
2 | preceding claims period. |
3 | (iii) The outstanding principal and interest on |
4 | moneys transferred into the fund under section 713(c). |
5 | (iv) Ten percent of the sum of subparagraphs (i), |
6 | (ii) and (iii). |
7 | (1.2) Paragraph (1.1) is not intended to validate or |
8 | refute any position advanced by a party in proceedings |
9 | challenging any assessment prior to the effective date of |
10 | this paragraph. The outcome of those proceedings shall be |
11 | based upon the statutory language in effect on the day before |
12 | the effective date of this paragraph. |
13 | (2) The department shall notify all basic insurance |
14 | coverage insurers and self-insured participating health care |
15 | providers of the assessment by November 1 for the succeeding |
16 | calendar year. |
17 | (3) Any appeal of the assessment shall be filed with the |
18 | department. |
19 | * * * |
20 | Section 2. This act shall take effect in 60 days. |
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