CHAPTER 200

FORMERLY

SENATE BILL NO. 48

AS AMENDED BY SENATE AMENDMENT NO. 1

AN ACT TO AMEND TITLE 16, DELAWARE CODE, RELATING TO MANAGED CARE ORGANIZATIONS.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF DELAWARE :

Section 1. Amend §9112 of Title 16 of the Delaware Code by redesignating subsection (b) as (c), (c) as (d), and (d) as (e).

Section 2. Amend §9112, Chapter 91, Title 16 of the Delaware Code by inserting a new §9112(b) to read as follows:

“(b) A Managed Care Organization shall have a Medical Director. The Medical Director, shall be licensed to practice medicine in Delaware in accordance with Title 24, Chapter 17, §1702, of the Delaware Code. The Medical Director’s duties shall include, at a minimum, those specified in regulations promulgated by the Department pursuant to the authority granted in Section 9110 of Title 16 of the Delaware Code. The Medical Director may assign duties to other physicians and non-physician personnel employed by, or under contract to, the Managed Care Organization, provided, however, that the Medical Director shall retain responsibility for assigned duties. Any decision to deny a covered service shall be rendered by a physician.”

Section 3. This act shall become effective on January 1, 2000.

Approved July 22,1999