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2018 SESSION
HB 1001 Health care shared savings; incentive programs.
Introduced by: Kathy J. Byron | all patrons ... notes | add to my profiles
SUMMARY AS INTRODUCED:
Health care shared savings; incentive programs. Requires health carriers to establish a comparable health care service incentive program under which savings are shared with a covered person who elects to receive a covered health care service from a lower-cost provider. Incentive payments shall be at least 50 percent of the saved cost compared to the average cost. Incentive payments are not required for savings of $25 or less. Programs are required to be approved by the Commissioner of Insurance. The measure also requires health carriers to make available an interactive mechanism on their website that enables a covered person to compare costs between providers in-network, calculate estimated out-of-pocket costs, and obtain quality data for those providers, to the extent available. The measure authorizes covered persons to obtain health care services from out-of-network providers if their costs are below the average of in-network providers. The measure requires health care facilities and practitioners to provide a covered person an estimate of charges prior to an admission, procedure, or service. All health care providers are required to post in a visible area notification of the patient's ability to obtain information in order to get an estimate of out-of-pocket costs from his health carrier and to compare providers.
FULL TEXT
- 01/09/18 House: Prefiled and ordered printed; offered 01/10/18 18104615D pdf | impact statement
- 01/23/18 House: Committee substitute printed 18105707D-H1 pdf | impact statement
HISTORY
- 01/09/18 House: Prefiled and ordered printed; offered 01/10/18 18104615D
- 01/09/18 House: Referred to Committee on Commerce and Labor
- 01/23/18 House: Reported from Commerce and Labor with substitute (12-Y 9-N)
- 01/23/18 House: Committee substitute printed 18105707D-H1
- 01/25/18 House: Read first time
- 01/26/18 House: Passed by for the day
- 01/29/18 House: Read second time
- 01/29/18 House: Committee substitute agreed to 18105707D-H1
- 01/29/18 House: Engrossed by House - committee substitute HB1001H1
- 01/30/18 House: Passed by for the day
- 01/31/18 House: Read third time and defeated by House (49-Y 49-N)
- 01/31/18 House: VOTE: DEFEATED (49-Y 49-N)