Full text: Report of the Royal Commission on National Health Insurance

OTR 
MAJORITY REPORT. 
(28) That the administration of additional benefits of the 
nature of treatment should remain in the hands of the Approved 
Societies in so far as the consideration of claims for benefit is 
concerned. (para. 228.) 
(29) That where a treatment benefit has been so widely 
adopted as an additional benefit as to be available for a large 
proportion of the total insured population, the negotiations as to 
terms and conditions of service with the profession by whom 
the service is provided should be undertaken by the Central 
Departments, and that the organisation and supervision of the 
service should rest with those Departments either directly or 
through the agency of the local bodies responsible for the adminis- 
tration of medical benefit. (para. 228.) 
(30) That Section 22 (1) of the Act should be amended so as 
to empower the Minister in any case in which the rules of a 
Society do not in the view of the Department adequately provide 
for its proper government, or are likely to operate unfairly to the 
prejudice of members, to give notice to the Society not less than 
one month before a general meeting, to consider an amendment 
of any rule to which exception is taken; and if the rule is not 
so amended, to make an Order directing that the amendment 
desired shall be deemed to be incorporated in the rules; and 
that appropriate machinery for dealing with objections should 
be set up. (para. 240.) 
(31) That in the case of centralised Societies there should be 
only one tribunal for the determination of disputes between 
Societies and their members, before reference to the Minister, 
and that in the case of Societies with branches not more than 
two such tribunals should be allowed, namely the branch 
tribunal and a tribunal of the District to which the branch is 
attached, or of the central body of the Society. (para. 241.) 
(82) That provision should be made by an extension of Section 
38 of the Act whereby the Department should have power to 
hold an inquiry into the methods of administration of any 
Society where the administration of the Society is regarded as 
unsatisfactory in any respect; and that if the Department is 
satisfied that it is not in the interest of the insured members that 
the Society should continue to be approved, the Department 
should have power to require it to arrange for the transfer of its 
engagements to some other Society. (para. 242.) 
(83) That it is inexpedient to impose any statutory restriction 
on the size of Societies. (para. 230.) 
(84) That in any case in which the Minister is satisfied that 
the administration of a Society or branch does not conform to a 
reasonable standard of efficency he should be empowered to order 
a reduction as he may think fit, of the amount allowed to the 
Society for administration purposes. (para. 242.
	        
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