Scroll to History Page
Scroll to Previous Versions Links List
Scroll to Full Text
Download This Bill in Microsoft Word format

Bill 3772

                    Current Status

Bill Number:                      3772
Type of Legislation:              General Bill GB
Introducing Body:                 House
Introduced Date:                  20010321
Primary Sponsor:                  J. Brown
All Sponsors:                     J. Brown, Allen, Breeland, M. Hines, 
                                  Hosey, Littlejohn, Mack, Martin, Rivers and 
                                  Scott
Drafted Document Number:          l:\council\bills\nbd\11389ac01.doc
Residing Body:                    House
Current Committee:                Medical, Military, Public and Municipal 
                                  Affairs Committee 27 H3M
Subject:                          Health maintenance organization required 
                                  to have a medical director, duties of; 
                                  Insurance, Medical and health


                        History

Body    Date      Action Description                     Com     Leg Involved
______  ________  ______________________________________ _______ ____________
House   20010321  Introduced, read first time,           27 H3M
                  referred to Committee


              Versions of This Bill

TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING SECTION 38-33-305 SO AS TO REQUIRE A HEALTH MAINTENANCE ORGANIZATION TO HAVE A MEDICAL DIRECTOR, TO PROVIDE FOR THE RESPONSIBILITIES OF A MEDICAL DIRECTOR, AND TO PROVIDE THAT A MEDICAL DIRECTOR MAY ASSIGN DUTIES BUT RETAINS RESPONSIBILITY FOR THESE DUTIES.

Be it enacted by the General Assembly of the State of South Carolina:

SECTION    1.    The 1976 Code is amended by adding:

    "Section 38-33-305.    A health maintenance organization must have, as one of its directors, a medical director. The medical director must be licensed to practice in this State in accordance with Title 40, Chapter 47. The medical director is responsible for oversight of treatment policies, protocols, quality assurance activities, and utilization management decisions. The medical director may assign duties to other physicians and nonphysician personnel employed by, or under contract with, the health maintenance organization; however, the medical director retains responsibility for all assigned duties. A decision to deny, reduce, or terminate health care services or to deny payment for a health care service because that service is not medically necessary must be made by a physician, except in the case of a health care service rendered by a dentist, chiropractor, or optometrist, and that decision must be made, respectively, by a dentist, chiropractor, or optometrist licensed to practice in this State."

SECTION    2.    This act takes effect upon approval by the Governor.

This web page was last updated on Tuesday, December 8, 2009 at 11:30 A.M.