§ 6332. Regulation by Department of Health.
(a) Annual reports.--Every professional health service corporation shall, on or before March 1 of each year, file with the Department of Health a report of its activities, other than its financial activities, during the preceding calendar year. Every such report shall be verified by at least two of the principal officers of the corporation and shall be in such form, and shall contain such matter, as the Department of Health shall prescribe. The Department of Health is hereby authorized to inquire into the activities of every professional health service corporation and to determine whether the corporation is providing adequate professional health services to its subscribers in accordance with the best professional health service practice in the community.
(b) Examination and special reports.--The Department of Health and its agents shall have free access to all the books, records, papers and documents that relate to the business of the corporation, other than financial, and the power to examine the officers, agents, employees, and subscribers for the professional health services of the corporation, and all health service doctors registered with the corporation, and all other persons having or having had substantial part in the work of the corporation, in relation to its affairs, transactions, and condition of the corporation, other than financial. Such examinations shall be made at such times as the Department of Health shall deem necessary. The Department of Health may, at any time, without making such examination, call on any such corporation for a written report, authenticated by at least two of its principal officers, concerning the affairs of the corporation other than its financial affairs.
(c) Extension or improvement of service pursuant to order.-- In the event the Department of Health finds that a professional health service corporation does not provide adequate professional health services to its subscribers in accordance with the best professional health service practice in the community, the Department of Health may notify the corporation of its findings and order the corporation, in specific terms, to extend or improve the professional health services furnished by the corporation. Such order shall be entered after notice and opportunity for hearing and shall be subject to judicial review in the manner and within the time provided by law.
Structure Pennsylvania Consolidated & Unconsolidated Statutes
Pennsylvania Consolidated & Unconsolidated Statutes
Chapter 63 - Professional Health Services Plan Corporations
Section 6301 - Application of chapter
Section 6303 - Statement of legislative findings and policy
Section 6304 - Certification of professional health service corporations
Section 6305 - Initial reserves
Section 6306 - Standards concerning incorporators
Section 6307 - Exemptions applicable to certificated professional health service corporations
Section 6308 - Uncertificated plans prohibited
Section 6321 - Required reserves
Section 6322 - Scope of service
Section 6323 - Action as agent under Federal and other programs
Section 6324 - Rights of health service doctors
Section 6325 - Income status; effect
Section 6326 - Specifically authorized contract provisions
Section 6327 - Subscriptions provided for persons on relief
Section 6328 - Board of directors
Section 6329 - Rates and contracts
Section 6330 - Investment of funds
Section 6331 - Reports and examinations
Section 6332 - Regulation by Department of Health
Section 6333 - Dental service agents