This regulation is issued pursuant to the authority of the Commissioner of the Department of Banking, Insurance, Securities and Health Care Administration under 8 V.S.A. § 15 and 8 V.S.A. § 4088b to issue rules and regulations requiring that health benefit plans provide coverage for routine costs for patients who participate in approved cancer clinical trials.
Nature of the Proceedings: Stipulation and Consent Order
Date Issued: March 21, 2011 Violation: Failure to comply with the budget established by the Commissioner Action Taken: The Stipulation and Consent Order requires the implementation of procedures to ensure ongoing compliance.
Failure to fully and/or timely submit required health care claims data, eligibility data, provider files and other information relating to health care services provided to Vermont residents, pursuant to the authority in 18 V.S.A. 9410(g) and Regulation H-2008-001 (VHCURES).
Payment of an administrative penalty of Seventy Five Thousand ($75,000) Dollars
Section 9405b of Title 18 requires each hospital licensed pursuant to Chapter 43 of Title 18 to publish and provide to the Commissioner annual hospital community reports in standard format. The purpose of this regulation is to establish the standard format for such reports, as well as the contents.