P.R. Laws tit. 26, § 9470
(a) If the Commissioner determines that a health insurance organization or issuer has not contracted with enough participating providers to assure that covered persons or enrollees have accessible healthcare services in a geographic area, or that a health insurance organization or issuer’s access plan does not assure reasonable access to covered benefits, or that a health insurance organization or issuer has entered into a contract that does not comply with this chapter, or that a health insurance organization or issuer has not complied with the provisions of this chapter, the Commissioner may institute a corrective action or may use any other powers under this Code or the Insurance Code of Puerto Rico to enforce compliance of the health insurance organization or issuer with this chapter.
(b) The Commissioner shall not act to arbitrate, mediate or settle disputes regarding a decision not to include a provider in a managed care plan or in a provider network or regarding any other dispute between a health insurance organization or issuer and a provider arising under or by reason of termination of a contract between them.
History —Aug. 29, 2011, No. 194, added as § 26.100 on Aug. 23, 2012, No. 203, § 6, eff. 90 days after Aug. 23, 2012.