Regulatory Framework (B) Task Force
Health Insurance and Managed Care (B) Committee

The mission of the Regulatory Framework (B) Task Force is to develop NAIC model acts and regulations for state health care initiatives, and with considering policy issues affecting state health insurance regulation.

Ongoing Maintenance of NAIC Programs, Products and Services

1. Review model laws adopted in 2004 and recommend whether they be retained, revised or deleted. Report by 2009 Winter National Meeting— Essential
2. Review and revise, as necessary, NAIC model laws and regulations identified as in need of review and revision as a result of the NAIC model law review initiative. Report annually—Important
3. Consider the revision of NAIC model laws and regulations affected by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and final federal regulations promulgated pursuant to HIPAA to comport with the requirements of HIPAA and final federal regulations. Report quarterly—Important
4. Develop a Model Regulation to Implement the Small Employer and Individual Health Insurance Availability Model Act (Prospective Reinsurance With or Without an Opt-Out), once final federal regulations are issued. Report by 2009 Winter National Meeting—Important
5. Revise the Model Regulation to Implement the Small Employer Health Insurance Availability Model Act (Prospective Reinsurance With or Without an Opt-Out) and the Model Regulation to Implement the Individual Health Insurance Portability Model Act to comport with revisions to the model acts once final federal regulations are issued. Report by 2009 Winter National Meeting—Important

1. Consider the revision of NAIC model laws and regulations affected by the Genetic Information Nondiscrimination Act of 2008 (GINA) and any final federal regulations promulgated pursuant to GINA. Report by 2009 Winter National Meeting—Important
2. Study proposals for developing a process for the independent review of policy rescission decisions for individually underwritten health insurance and preexisting condition exclusion decisions and the different approaches that may be used to establish this independent review process and identify and evaluate the issues associated with such a process. Report by 2009 Winter National Meeting—Important

New Objectives and Goals (representing new NAIC programs, services, or initiatives):

1. Review issues concerning the standardization of forms practices and procedures in health insurance underwriting with respect to regulatory modernization that promotes administrative efficiency and the reduction of associated costs. Report by 2009 Winter National Meeting—Important