32_1_137_4-5

*TITLE 32.1. HEALTH; CHAPTER 5. REGULATION OF MEDICAL CARE FACILITIES AND SERVICES; ARTICLE 1.1. CERTIFICATE OF QUALITY ASSURANCE OF MANAGED CARE HEALTH INSURANCE PLAN LICENSEES

§ 32.1-137.4. Examination, review or investigation

“Any examiner authorized by the Commissioner shall, so far as necessary for the purposes of the examination or review, have access during regular business hours to the premises and to any books, records, files, or property of the licensee as far as they directly relate to the quality of care provided by the licensee. All material copied or recorded or received shall be privileged and confidential and shall not be subject to subpoena.”

*TITLE 32.1. HEALTH; CHAPTER 5. REGULATION OF MEDICAL CARE FACILITIES AND SERVICES; ARTICLE 1.1. CERTIFICATE OF QUALITY ASSURANCE OF MANAGED CARE HEALTH INSURANCE PLAN LICENSEES

§ 32.1-137.5. Civil penalties; probation; suspension; restriction or prohibition of new enrollments to managed care health insurance plan licensee; revocation or nonrenewal of certificate of quality assurance; appeal process; correction

“When examination or review or complaint investigation by the Department results in a finding of noncompliance with the provisions of this article or the regulations of the Board, the managed care health insurance plan licensee or applicant shall be provided written notice and a report specifying the findings of noncompliance and providing an opportunity to be heard in no fewer than thirty days by the Commissioner’s adjudication officer in a proceeding under § 9-6.14:11. A copy of the notice and report shall be provided to the Bureau of Insurance. Such proceeding shall be separate from the regulatory office of the Department that conducted the examination, review, or investigation and shall be closed and confidential. The records of the proceedings shall be privileged and confidential and shall not be subject to subpoena.”

*Note: This statutory text is given for illustrative purposes only. It may represent only that portion of the statute that FOIA mentions. There may have been legislative changes to the statute as well. Check the most recent, official version of the Virginia Code before relying on any provision seen here.