                                 CODE OF VIRGINIA

REGULATIONS (§ 32.1-137.3)

Consistent with its duties to protect the health, safety, and welfare of the
public, the Board shall promulgate regulations, consistent with this article,
governing the quality of care provided to covered persons 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 Commissioner to determine, in consultation with the
Bureau of Insurance, when the imposition of administrative sanctions as set
forth in § 32.1-137.5 or initiation of court proceedings or both are
appropriate in order to ensure prompt correction of violations discovered on any
examination, review, or investigation conducted by the Department pursuant to
provisions of this article.

HISTORY: 1998, c. 891.