THE QUALITY IMPERATIVE:  Model State Legislation For  Managed Care

Developed by the Consumer Coalition
Fall 1996

• Introduction
• Executive Summary
• Section One: Health Plan Standards, Licensing Procedures and Enforcement Mechanisms
• Summary of Section One
• Draft of Section One
• Section Two: Managed Care Information System and Consumer Guide for Health

Plan Selection
• Summary of Section Two
• Draft of Section Two
• Section Three: Health Plan Complaint Procedure and Administrative

and Judicial Review Requirements
• Summary of Section Three
• Draft of Section Three
• Section Four: Independent Quality Monitoring and Improvement Program
• Summary of Section Four
• Draft of Section Four
• Section Five: Managed Care Ombudsman Program
• Summary of Section Five
• Draft of Section Five
• Section Six: Managed Care Policy Board
• Summary of Section Six
• Draft of Section Six
• Section Seven: Definitions
• Draft of Section Seven

Contact Information