SEARCH SITE

VIRGINIA LAW PORTAL

SEARCHABLE DATABASES

ACROSS SESSIONS

Developed and maintained by the Division of Legislative Automated Systems.

2008 SESSION

  • | print version

HB 603 Health insurance carriers; hospital disclosure of contractual arrangements.

Introduced by: John M. O'Bannon, III | all patrons    ...    notes | add to my profiles | history

SUMMARY AS PASSED HOUSE:

Hospitals; disclosure of contractual arrangements with health insurance carriers.  Requires the State Health Commissioner to negotiate and contract with a nonprofit organization for an annual survey of carriers offering private group health insurance policies and that are subject to HEDIS reporting, to determine the reimbursement that is paid for a minimum of 25 most frequently reported health care services, and to make the survey reports public through a website operated by the contracting organization.  This bill also requires carriers to report the average reimbursement paid for a specific service from all providers and provider types.  This bill is identical to SB 396 (Edwards).

SUMMARY AS INTRODUCED:

Hospitals; disclosure of contractual arrangements with health insurance carriers.  Requires health insurance carriers, including health maintenance organizations and third-party administrators, annually to disclose to the State Health Commissioner the terms of its contracts with hospitals that establish the amount that the carrier is required to pay to the provider for health care services. The State Health Commissioner is required to compile the information and make it available to the public through an Internet website. Portions or aggregations of the information may be made available to the public if the Board of Health determines it may disclosed without compromising the identities of the carrier and hospital. The Commissioner shall negotiate and contract with a nonprofit organization, such as the Virginia Health Information, to compile, store, and make such information available to the public.