P.R. Laws tit. 24, § 7034

2019-02-20 00:00:00+00
§ 7034. Regionalization system

The rendering of services shall be carried out following the regionalization system established by the Administration in coordination with the Department, by progressively establishing a network of participating purveyors throughout the Island, thus insuring the closest possible service to the patient.

(a) The insurer and/or health service organization shall provide in each region all secondary and tertiary services, as defined by the Department, but only those secondary and tertiary services not provided by the Commonwealth in such region or area. Participating providers shall coordinate with the Administration the extent of the secondary and tertiary services they shall provide as provided in the contract, but only those secondary and tertiary services not provided by the Commonwealth in such region or area.

(b) In the urban areas, diverse hospitals may function as a complementary service entity in order to avoid duplication, control the use of the installations, and reduce the unit cost of services.

(c) The regional facilities of the Department shall continue to render services to populations with special needs, such as detoxification services, mental health centers and others.

(d) Each municipality shall have access to an emergency system, for transportation as well as for services.

(e) In those municipal governments, which have opted to operate or continue to operate the facilities to render health services, shall be subject to the contracting of those health plans executed by the Administration.

(f) Those municipalities in which community health services operate or may operate in the future, may continue rendering services, and contract additional services with the corresponding insurers, or the Administration.

(g) The Administration shall proceed to implement, the Health Reform in the Municipality of San Juan in the measure which corresponds to it, no later than the 1st of July of 2000. To such effects, it shall arrange, negotiate and contract health insurance plans with the intention to extend to the eligible citizens of the Municipality of San Juan, the Card Health of the Government of Puerto Rico Health Insurance Plan with all the benefits and prerogatives applicable to the plan. The municipal administration of the Municipality of San Juan and its Municipal Legislature shall enable the Administration to comply with this mandate, offering whatever cooperation is necessary and within its reach, in an effort to enable the implementation of the Health Reform in San Juan.

History —Sept. 7, 1993, No. 72, Art. VI, § 10; Dec. 14, 1994, No. 139, § 1; May 24, 2000, No. 88, § 1; renumbered as § 8 and amended on Dec. 29, 2000, No. 463, § 8; July 19, 2002, No. 105, § 4; Aug. 8, 2010, No. 123, § 8.