Regulators are polishing an addition to the standards state examiners use to verify insurer compliance with the Patient Protection and Affordable Care Act (PPACA) and other laws.
Examiners will use the new section to see if insurers are giving plan enrollees the required level of access to health care providers.
Members of the Market Conduct Examination Standards Working Group at the National Association of Insurance Commissioners (NAIC) have posted a draft of the section. Comments on the section are due Dec. 31.
See also: Regulators draft PPACA complaint codes
The draft section would affect PPACA-compliant plans that use primary care doctors to manage access to specialty care.