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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>84080</law_id><section_number>32.1-137.3</section_number><catch_line>Regulations</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>32.1-137.4</reference></referred_to_by><structure><unit label="title" level="1" order_by="1" identifier="32.1">Health</unit><unit label="chapter" level="2" order_by="1" identifier="5">Regulation of Medical Care Facilities and Services</unit><unit label="article" level="3" order_by="1" identifier="1.1">Certificate of Quality Assurance of Managed Care Health Insurance Plan Licensees</unit></structure><text>
						<section><p>Consistent with its duties to protect the health, safety, and welfare of the public, the <span class="dictionary">Board</span> shall promulgate regulations, consistent with this article, governing the quality of care provided to covered <span class="dictionary">persons</span> by a managed care health insurance plan licensee through its managed care health insurance plans on or before December 1, 1999. The regulations may incorporate or apply nationally recognized, generally accepted, quality standards developed by private accreditation entities, if such standards exist and as appropriate for the type of managed care health insurance plan. The regulations shall also include guidelines for the <span class="dictionary">Commissioner</span> to determine, in consultation with the Bureau of Insurance, when the imposition of administrative <span class="dictionary">sanctions</span> as set forth in &#xA7;&#xA0;<a class="law" title="Civil penalties; probation; suspension; restriction or prohibition of new enrollments to managed care health insurance plan licensee; revocation or nonrenewal of certificate of quality assurance; appeal process; correction" href="/32.1-137.5/">32.1-137.5</a> or initiation of <span class="dictionary">court</span> proceedings or both are appropriate in <span class="dictionary">order</span> to ensure prompt correction of violations discovered on any examination, review, or investigation conducted by the <span class="dictionary">Department</span> pursuant to provisions of this article.</p></section></text><history>1998, c. 891.</history><metadata></metadata></law>
