§ 27-41-20. Administrative procedures.
(a) When the director of business regulation has cause to believe that grounds for the
denial of an application for a license exist, or that grounds for the suspension or
revocation of a license exist, the director shall notify the health maintenance organization
and the director of health, in writing, specifically stating the grounds for denial,
suspension, or revocation and fixing a time for a hearing on the matter.
(b) The director of health, or his or her designated representative, shall be in attendance
at the hearing and shall participate in the proceedings. The
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§ 27-41-20. Administrative procedures.
(a) When the director of business regulation has cause to believe that grounds for the
denial of an application for a license exist, or that grounds for the suspension or
revocation of a license exist, the director shall notify the health maintenance organization
and the director of health, in writing, specifically stating the grounds for denial,
suspension, or revocation and fixing a time for a hearing on the matter.
(b) The director of health, or his or her designated representative, shall be in attendance
at the hearing and shall participate in the proceedings. The recommendation and findings
of the director of health, with respect to matters relating to the quality of healthcare
services provided by the health maintenance organization in connection with any decision
regarding the denial, suspension, or revocation of a license, shall be conclusive
and binding upon the director of business regulation. After the hearing, or upon the
failure of the health maintenance organization to appear at the hearing, the director
of business regulation shall take any action that is deemed advisable on written findings
that shall be mailed to the health maintenance organization with a copy to the director
of health. The action of the director of business regulation and the recommendation
and findings of the director of health shall be subject to review by the superior
court for the county of Providence.
(c) The provisions of chapter 35 of title 42 shall apply to proceedings under this section to the extent they are not in conflict
with subsections (a) and (b) of this section.