Section 2950. Legislative findings  


Latest version.
  • The legislature finds and determines as
      follows:
        1.  The  health  care  delivery   system   is   undergoing   a   major
      transformation  in response to changing demographics and consumer needs,
      changes in reimbursement policies, the emergence  of  alternate  service
      providers, and public pressure to control health care costs.
        2. Such changes have a particularly severe impact on rural health care
      delivery,  which  consists  of  small, frequently isolated providers who
      have limited financial resources and health support networks. Many  such
      providers  are  experiencing  financial  stress  or  certain barriers to
      change which could  seriously  reduce  access  to  quality  health  care
      services by individuals in rural environs.
        3.  This  development  calls  for  greater  sharing of information and
      resources among rural health care providers.  The  promotion  of  proper
      planning  and  cooperative  efforts  among  such providers would improve
      individual  access  to  health  care  in   rural   areas   and   enhance
      cost-effectiveness  in the delivery of such services as tertiary, acute,
      primary, home health and skilled nursing care; and illness prevention.
        4. It is, therefore,  the  intent  of  the  legislature  to  encourage
      continued  access  to high quality health care in rural areas as well as
      the development of rural health network agreements  among  providers  of
      health  care  servicing  rural  areas  which  result  in  the  merger or
      integration and coordination of health care services  pursuant  to  such
      network  agreements;  and  to  provide  the  necessary  funding for such
      networks.
        5. It is further  the  intent  of  the  legislature  that  as  needed,
      regulatory waivers may be granted to participating providers as required
      to   successfully  implement  networks  within  the  limits  of  prudent
      provision for the health, safety, and  general  welfare  of  the  people
      receiving  health  care.    In addition, the commissioner shall actively
      provide for technical assistance in order to support  the  creation  and
      operation of rural health networks.
           6.  It  is  further the intent of the legislature that, in order to
      promote access to health care services, to increase the required linkage
      of health care service providers, and promote the quality and continuity
      of care provided to residents in rural areas, it shall be the policy  of
      this  state  to  encourage  cooperative,  collaborative  and integrative
      arrangements between rural networks and health care providers who  might
      otherwise   be   competitors,   under  the  active  supervision  of  the
      commissioner. To the extent such arrangements might be  anti-competitive
      within  the  meaning  and  intent  of  the federal antitrust laws, it is
      further the intent of the legislature to supplant competition with  such
      arrangements  to the extent necessary to accomplish the purposes of this
      article, and provide state action immunity under the  federal  antitrust
      laws with respect to the planning, implementation and operation of rural
      health  networks and central services facility rural health networks and
      health care providers participating in or members of such networks.