P.R. Laws tit. 24, § 7053
Pursuant to the provisions of the above § 7052 of this title, the Administration shall consider transferring to the health services provider the premium dollar percent appropriated to the medical sub-fund; without prejudice to same for invoices and/or charges related to the other items of the medical fund, such as ancillary services for emergency room and hospital visits, laboratories, X-rays, pharmacies, support physicians, and other health services providers.
The Administration shall also consider taking charge of the Catastrophic Illness Fund, the Institutional Fund and the ancillary services mentioned above. With regard to the safety measures taken by the Administration, they shall be limited exclusively to reserves that are proportional to the actuarial risk assumed in the contracting.
Likewise, the Administration shall consider the negotiation of rates with different supporting physicians based on the methods of paying for services rendered or per capita payment, having to its credit, the administration and reserves funds in order to mitigate the fluctuations of payments.
History —Sept. 7, 1993, No. 72, added as Art. IX, § 3 on July 19, 2002, No. 105, § 5; renumbered as § 5 and amended on Dec. 29, 2003, No. 334, § 2, eff. 30 days after Dec. 29, 2003.