Health care shared savings; incentive programs. (HB2639)

Introduced By

Del. Kathy Byron (R-Lynchburg)

Progress

Introduced
Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law

Description

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 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 exempts certain health maintenance organizations from these requirements. 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 provide a description of the elective procedure or test, or the applicable standard procedural terminology or medical codes used by the American Medical Association, sufficient to allow a patient to compare care options if the patient is being referred for an elective procedure or test. Amends § 38.2-4214, § 38.2-4319, § 54.1-2910.01, of the Code of Virginia. Read the Bill »

Status

01/17/2019: Awaiting a Vote in the Commerce and Labor Committee

History

DateAction
01/10/2019Committee
01/10/2019Presented and ordered printed 19103480D
01/10/2019Referred to Committee on Commerce and Labor
01/15/2019Assigned C & L sub: Subcommittee #1
01/17/2019Impact statement from SCC (HB2639)
01/17/2019House subcommittee amendments and substitutes offered
01/17/2019Subcommittee recommends reporting with substitute (8-Y 0-N)

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