Amend the bill by striking out everything after the enacting clause and before the summary and inserting the following:

summary

This amendment replaces the bill. The amendment allows a multiple employer welfare arrangement to offer a managed care plan that does not adhere to any geographic access requirements on a pilot basis with approval of the Superintendent of Insurance. The amendment prohibits an arrangement from including terms and conditions in the managed care plan that have a detrimental financial impact on a covered person or that require a covered person to travel outside of the United States for health care services. The amendment requires the Superintendent of Insurance to report to the Legislature on the status of any approved pilot program on an annual basis. The provision is repealed after 3 years.