E Modifying certain provisions relating to health care purchasing alliances; providing for rural health care purchasing alliance employer-member contributions to the cost of employee health coverage under certain conditions; creating an exception to the requirement for accountable provider networks and health care purchasing alliances to comply with applicable requirements; authorizing self insured employers to participate as affiliate members of purchasing alliances without affecting the standing of the employer under the federal employee retirement income security act (ERISA), defining affiliate member; authorizing the establishment and maintenance of complaint systems by contract with a purchasing alliance, requiring approval of the commissioner of health, prohibiting commissioner waiver of enrollee rights relating to external review; restricting accountable provider networks offering of benefit plans to employer-members of the alliance; authorizing an alternate form of submission of information needed to monitor quality of care and enrollee rights; modifying certain solvency protection requirements; extending the time limit for commissioner approval of certificates of authority for accountable provider networks, requiring the commissioner to honor the intent of the provisions to foster community focused affordable health coverage for small employers and employees; repealing the enrollment limit (ra, ja)