Forum Session

HIPAA as a Regulatory Model: Early Experiences and Future Prospects
April 5, 1999


Karl Polzer


Participants at this Forum session explored early regulatory experiences under Health Insurance Portability and Accountability Act of 1996 (HIPAA), including the capacity of state and federal agencies to enforce its provisions. The discussion also addressed how the HIPAA model might or might not be a useful vehicle for applying various consumer protection measures being debated in Congress such as enforcing fair claims processing, resolving disputes over benefits, providing consumer information, ensuring plan content and solvency, making sure that managed care plans operate fairly, and enforcing market conduct standards.


Daniel J. Maguire, Director, Health Care Task Force, Pension and Welfare Benefits Administration, U.S. Department of Labor; Alan Tawshunsky, Special Counsel to the Associate Chief Counsel (Employee Benefits & Exempt Organizations), Internal Revenue Service; Jay Angoff, Director, Insurance Standards, Center for Medicaid and State Operations, Health Care Financing Administration; Barbara Yondorf, Director, Policy & Research, Colorado Division of Insurance; Maston T. (Tom) Jacks, Deputy Commissioner, Life and Health Division, North Carolina Department of Insurance;Wardell Sanders, Executive Director, New Jersey Individual Health Coverage Program and Small Employer Health Benefits Program, John Hartnedy, MAAA, FSA, Chief Life and Health Actuary, Arkansas Insurance Department.

Related Materials

More information available in the accompanying publication, Issue Brief No. 735. See also the entry for the related Forum Session.

In addition, see "HIPAA Coverage Provisions" (The Basics, March 25, 2008).

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