The report required under Section 83-5-93 or assessing the impact of a proposed mandate of health coverage shall include at the minimum and to the extent that information is available, the following:
The social impact, including:
The extent to which the treatment or service is generally utilized by a significant portion of the population;
The extent to which such insurance coverage is already generally available;
If coverage is not generally available, the extent to which the lack of coverage results in persons being unable to obtain necessary health care treatment;
If the coverage is not generally available, the extent to which the lack of coverage results in unreasonable financial hardship on those persons needing treatment;
The level of public demand for the treatment or service;
The level of public demand for individual or group insurance coverage of the treatment or service;
The level of interest of collective bargaining organizations in negotiating privately for inclusion of this coverage in group contracts; and
The impact of indirect costs which are costs other than premiums and administrative costs, on the question of the costs and benefits of coverage.
The financial impact, including:
The extent to which insurance coverage of the kind proposed would increase or decrease the cost of the treatment or service;
The extent to which the proposed coverage might increase the use of the treatment or service;
The extent to which the mandated treatment or service might serve as an alternative for more expensive treatment or service;
The extent to which insurance coverage of the health care service or provider can be reasonably expected to increase or decrease the insurance premium and administrative expenses of policyholders; and
The impact of this coverage on the total cost of health care.
The medical efficacy, including:
The contribution of the insurance coverage to the quality of patient care and the health status of the population, including the results of any research demonstrating the medical efficacy of the treatment or service compared to alternatives or not providing the treatment or service; and
If the legislation seeks to mandate coverage of an additional class of practitioners:
1. The results of any professionally acceptable research demonstrating the medical results achieved by the additional class of practitioners relative to those already covered; and
2. The methods of the appropriate professional organization that assure clinical proficiency.
The effects of balancing the social, economic and medical efficacy considerations, including:
The extent to which the need for coverage outweighs the cost of mandating the benefit for all insureds; and
The extent to which the problem of coverage may be solved by mandating the availability of the coverage as an option for insureds.
Structure Mississippi Code
Chapter 5 - General Provisions Relative to Insurance and Insurance Companies
Article 1 - General Provisions
§ 83-5-1. Concerns subject to department
§ 83-5-3. All companies to submit to all laws of state
§ 83-5-9. Business to be conducted in corporate name
§ 83-5-15. License fees for each class of business
§ 83-5-19. Sale of stock regulated
§ 83-5-21. License revoked if judgments not paid
§ 83-5-25. Certain insurance prohibited
§ 83-5-27. Discrimination through fictitious grouping prohibited
§ 83-5-29. Insurance business practices regulated
§ 83-5-30. Notice of withdrawal, cancelation, or failure to renew insurance; penalties
§ 83-5-33. Unfair methods of competition and deceptive practices prohibited
§ 83-5-35. Unfair methods of competition and unfair or deceptive acts or practices defined
§ 83-5-37. Power of commissioner
§ 83-5-47. Judicial review by intervenor
§ 83-5-49. Penalty for violation of cease and desist order
§ 83-5-51. Provisions cumulative
§ 83-5-53. Blank forms furnished
§ 83-5-57. Reinsurance returns made annually
§ 83-5-59. Statements examined and abstracts published
§ 83-5-61. Certain premiums declared and taxed
§ 83-5-63. Penalty for failure to declare
§ 83-5-67. License revoked if statement untrue
§ 83-5-71. Duration of license
§ 83-5-75. Fees of fraternal orders
§ 83-5-77. Publication fees; funding of agency expenses; deposit of monies into State General Fund
§ 83-5-79. Investigation of complaint by citizens
§ 83-5-81. Suit for payment of expense if refused
§ 83-5-83. Refusal to comply; license revoked
§ 83-5-87. Contents of residential property insurance policy