Health Insurance and Managed Care (B) Committee
Sunday, December 11, 2016
3:30 – 5:00 p.m.
Fontainebleau Miami—Glimmer Ballroom 5&6—4th Floor

Health Insurance and Managed Care (B) Committee
Conference Call
October 25, 2016
11:00 AM ET/10:00 AM CT

Related NAIC Publications

Contacts

Health Insurance and Managed Care (B) Committee

Mission

The mission of the Health Insurance and Managed Care (B) Committee is to consider issues relating to all aspects of health insurance.

2016 Charges

Ongoing Maintenance of NAIC Programs, Products and Services

  1. The Health Insurance and Managed Care (B) Committee will:

    1. Respond to inquiries from the U.S. Congress, the White House and federal agencies; analyze policy implications and effect on states of proposed and enacted federal legislation; communicate the NAIC’s position through letters and testimony when requested.—Essential

    2. Monitor the activities of the Health Actuarial (B) Task Force.—Essential

    3. Monitor the activities of the Regulatory Framework (B) Task Force.—Essential

    4. Monitor the activities of the Senior Issues (B) Task Force.—Essential

    5. Serve as the official liaison between the NAIC and the Joint Commission on Accreditation of Healthcare Organizations, the National Committee on Quality Assurance (NCQA) and URAC.—Important

    6. Examine factors that contribute to rising health care costs and insurance premiums; review state initiatives to address cost drivers.—Important

    7. Utilize the Regulatory Framework (B) Task Force to review and, if necessary, consider revisions to the Health Carrier Prescription Drug Benefit Management Model Act (#22) to address issues related to: 1) transparency, accuracy and disclosure regarding prescription drug formularies and formulary changes during a policy year; 2) accessibility of prescription drug benefits using a variety of pharmacy options; and 3) tiered prescription drug formularies and discriminatory benefit design.—Important

    8. Coordinate with the Market Regulation and Consumer Affairs (D) Committee, as necessary, to provide policy recommendations regarding uniform state enforcement of the federal Affordable Care Act (ACA).—Essential

    9. Coordinate with the Producer Licensing (EX) Task Force, as necessary, regarding the regulation and activities of navigators and non-navigator assistance personnel as provided under the ACA and regulations implementing the ACA.—Essential

    10. Coordinate with the Antifraud (D) Task Force, as necessary, regarding state and federal antifraud activities related to the implementation of the ACA.—Essential