E Revising certain provisions involving state regulation of private health care coverageARTICLE 1 CONSISTENT REGULATION OF MANAGED CARE PLANSDefining certain terms and providing for the applicability and scope of the provisions; requiring and providing for approval of managed care plans by the commissioner of commerce, authorizing the commissioner to prescribe the application form; specifying required coverage, authorizing certain exclusions and limits; requiring compliance with dispute resolution, utilization review, evidence of coverage and information to enrollees requirements and recourse restrictions, requiring commissioner enforcement; requiring commissioner approval of delegation agreements, specifying certain delegation agreement requirements; authorizing provider agreements and subrogation provisions; requiring compliance with certain coordination of benefits regulations; requiring health plan companies providing managed care plans to develop and maintain quality assessment and performance improvement programs, defining quality assessment and performance improvement and specifying certain health plan company and program requirements, requiring commissioner routine audits of the programs for compliance purposes, authorizing commissioner acceptance of independent audits under certain conditions and specifying certain health plan company documentation, reporting and disclosure requirements; providing for network adequacy, specifying certain standards and service area requirements; requiring and providing for health plan companies to file by a certain date access plans with the commissioner for prior approval; regulating provider contracts; providing for uniform enrollee cost sharing, regulating copayments, deductibles, annual out of pocket maximums and maximum lifetime benefits; repealing certain provisions regulating health maintenance organization annual reports to enrollees, coverage limits, provider contracts and geographic accessibility and certain rules governing HMO copayments, availability and accessibility, quality assurance plans, the effective date of operating requirements, complaint records and reports and termination of coverage ARTICLE 2 RELATED AND CONFORMING CHANGES IN MANAGED CARE REGULATIONMaking certain conforming amendments to certain provisions regulating health plans; transferring certain health plans regulatory authority from the commissioner of health to the commissioner of commerce; expanding the scope of a certain provision regulating transfers to substantially similar products; clarifying preexisting conditions disclosure requirements; eliminating certain health maintenance organization copayment and deductible limits; expanding grounds for suspension or revocation of HMO certificates of authority; modifying certain health plan company action plan requirements; specifying certain term change instructions to the revisor of statutes; requiring the commissioner of health to study and report to the legislature by a certain date on premium cost, subscriber liability and health outcomes under different types of health plan regulation by the state; repealing health plan company expanded provider network requirementsARTICLE 3 MINIMUM BENEFITS CONFORMITYClarifying and making conforming amendments to certain health plan minimum coverage requirements; repealing the accident and health insurance plans prohibition on preauthorization requirements for emergencies, certain nonprofit health service plan corporation subscriber contract provisions relating to handicapped dependents, maternity benefits and newborn infants, service plan corporation and health maintenance organization continuation and conversion privileges requirements for former spouses children and an HMO provision relating to coverage of current spouses and children(ra, ja)