§23-52 - Assessment report; contents.
§23-52 Assessment report; contents. The report required under section 23-51 for assessing the impact of a proposedmandate of health coverage shall include at the minimum and to the extent thatinformation is available, the following:
(1) The social impact.
(A) The extent to which the treatment orservice is generally utilized by a significant portion of the population;
(B) The extent to which such insurancecoverage is already generally available;
(C) If coverage is not generally available,the extent to which the lack of coverage results in persons being unable toobtain necessary health care treatment;
(D) If the coverage is not generallyavailable, the extent to which the lack of coverage results in unreasonablefinancial hardship on those persons needing treatment;
(E) The level of public demand for thetreatment or service;
(F) The level of public demand for individualor group insurance coverage of the treatment or service;
(G) The level of interest of collectivebargaining organizations in negotiating privately for inclusion of thiscoverage in group contracts;
(H) The impact of providing coverage for thetreatment or service (such as morbidity, mortality, quality of care, change inpractice patterns, provider competition, or related items); and
(I) The impact of any other indirect costsupon the costs and benefits of coverage as may be directed by the legislatureor deemed necessary by the auditor in order to carry out the intent of thissection.
(2) The financial impact.
(A) The extent to which insurance coverage ofthe kind proposed would increase or decrease the cost of the treatment orservice;
(B) The extent to which the proposed coveragemight increase the use of the treatment or service;
(C) The extent to which the mandated treatmentor service might serve as an alternative for more expensive treatment orservice;
(D) The extent to which insurance coverage ofthe health care service or provider can be reasonably expected to increase ordecrease the insurance premium and administrative expenses of policyholders;and
(E) The impact of this coverage on the totalcost of health care. [L 1987, c 331, pt of §1; am L 1990, c 227, §2]