This chapter applies to grandfathered health plans unless a health care insurer or utilization review agent determines to extend the protections of section 26.1-36-47 to a grandfathered plan. “Grandfathered health plan” has the meaning stated in the Patient Protection and Affordable Care Act [Pub. L. 111-148], as amended by the Health Care and Education Reconciliation Act of 2010 [Pub. L. 111-152]. The purpose of this chapter is to:

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1.    Promote the delivery of quality health care in a cost-effective manner; 2.    Assure that utilization review agents adhere to reasonable standards for conducting utilization review; 3.    Foster greater coordination and cooperation between health care providers and utilization review agents; 4.    Improve communications and knowledge of benefits among all parties concerned before expenses are incurred; and

5.    Ensure that utilization review agents maintain the confidentiality of medical records in accordance with applicable laws.