P.R. Laws tit. 26, § 1905

2019-02-20
§ 1905. Powers

(1) The powers of a health services organization shall include, but shall not be limited to:

(a) The purchase, lease, construction, renewal, operation, maintenance of hospitals, medical facilities, or both, and related equipment and such property as may be reasonably required for its main office or for such other purposes as may be necessary for the organization.

(b) To grant loans to groups of physicians under contract with the organization to assist it exclusively in those programs that may be related with the contract; or to grant loans to a corporation or corporations under its control for the purpose of acquiring or constructing medical and hospital facilities or to assist it in its program to provide health care services to the subscribers.

(c) To offer health care services through providers who are under contract with or employed by the health services organization.

(d) To contract with any person to carry out on its behalf certain functions such as marketing, subscription and administration.

(e) Contract with an insurance company or any other health services organization authorized to do business in Puerto Rico, to provide insurance, compensation or reimbursement for the cost of the health care services offered by the health services organization.

(f) Offer other health care services in addition to the basic health care services.

(2)

(a) A health services organization, before exercising any of the powers conferred in clause (a) or (b) of subsection (1) of this section, and the power to contract administrative functions conferred in subsection (1)(d) of this section shall furnish to the Commissioner the adequate information to justify the exercise of said powers. The Commissioner may disapprove the exercise of any such power if, in his opinion, it substantially affects the financial status of the health services organization and prevents it from meeting its obligations. If the Commissioner does not disapprove it within thirty (30) days after its filing, it shall be deemed approved. The Commissioner may postpone said period for an additional term that shall not exceed thirty (30) days, if the Commissioner advises the health services organization of it within said waiting period.

(b) The Commissioner may promulgate the adequate regulations to exempt from the requirement established in clause (a) of this subsection those activities that have minimum effects.

History —Ins. Code, added as § 19.050 on June 2, 1976, No. 113, p. 313, § 1; July 2, 1987, No. 88, p. 337, § 4.