§ 1121. Voucher insurance program. (a) The superintendent, in\nconsultation with the commissioner of health, is authorized to conduct a\nprogram on a demonstration basis to the extent of funds available\ntherefor, through contractual arrangements with approved organizations,\nto assist individuals and families residing in specified urban, rural or\nsuburban areas in purchasing health care coverage through insurers,\nhealth maintenance organizations and integrated delivery systems.\n (b) The superintendent shall designate the urban, rural or suburban\nareas to be served by the voucher insurance program. The superintendent\nshall determine the overall amount of funding to be allocated for\nvouchers issued in designated urban, rural or suburban areas.\n (c) The superintendent, in consultation with the commissioner of\nhealth, shall establish guidelines for the submission of proposals by\norganizations for the purposes of administering the voucher insurance\nprogram including, but not limited to the following:\n (1) standards for enrollment of eligible persons, including mechanisms\nfor determining eligibility, and annual recertification;\n (2) standards for monitoring the performance of insurers, health\nmaintenance organizations and integrated delivery systems participating\nin the voucher program; and\n (3) such other criteria which may be deemed necessary.\n (d) A proposal submitted by an organization to administer the voucher\nprogram shall include the following:\n (1) a designation of the geographic area to be served;\n (2) an estimation of the number of persons who will be eligible for\nthe program and the estimated number of actual participants in the\nprogram in the specified geographic area;\n (3) a description of the procedures for enrollment of eligible\nindividuals and families in the voucher program;\n (4) a demonstration of the availability and accessibility of offices\nwhere individuals and families could obtain information and enroll in\nthe voucher program;\n (5) a description of the mechanisms for preventing fraudulent\nenrollment;\n (6) a description of the procedure for issuance of the voucher and for\nmonitoring individual and family enrollment in health maintenance\norganizations, integrated delivery systems and insurers participating in\nthe voucher program;\n (7) a description of the mechanisms for monitoring the performance of\nhealth maintenance organizations, integrated delivery systems and\ninsurers participating in the program;\n (8) a description of the procedures for marketing the voucher program\nand the proposed community outreach activities including the\nidentification of any subcontractor who will perform these activities;\n (9) a detailed description of the estimated expenses, including\npersonnel costs and other types of administrative expenses which will be\nincurred in the development and implementation of the voucher program;\n (10) a demonstration of the applicant's ability to meet the data\nanalysis and reporting requirements of the program;\n (11) a demonstration of the financial feasibility of the program; and\n (12) such other information as the superintendent may deem\nappropriate.\n (e) The superintendent, in consultation with the commissioner of\nhealth, shall make a determination whether to approve, disapprove or\nrecommend modification to the proposal of an applicant to administer the\nvoucher program.\n (f) An organization approved to administer the voucher program shall\nsubmit reports to the superintendent in such form and at times as may be\nrequired in order to facilitate evaluation of the operations and results\nof the voucher program.\n (g) The superintendent may approve more than one organization to\nadminister the voucher program in all or part of a geographic area.\n (h) The superintendent shall determine the amount of funds to be\nallocated to an approved organization to administer the voucher program\nwithin such funds which are available for
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