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IN SB0386
Bill
AI Summary
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State Department of Health must establish a health care price data system by January 1, 2020, publishing cost and quality information on a public website for outpatient services including physical therapy, occupational therapy, radiology/imaging, laboratory, and infusion therapy.
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Health care providers must disclose prices for their most frequently provided services (those rendered at least 50 times annually) and provide written notice to patients when referring for comparable services that they may shop for lower-cost alternatives.
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Health plans must maintain a website and toll-free number for covered individuals to obtain estimated costs and quality data for comparable health care services from participating providers.
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Health plans must offer at least one plan design with a health savings account that incentivizes consumers to shop for lower-cost, high-quality providers, with incentives including cash payments, gift cards, or premium/copay/deductible credits.
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Covered individuals who obtain comparable services from non-participating providers at or below the statewide average price may apply those payments toward their deductible and out-of-pocket maximum as if the service came from an in-network provider.
Legislative Description
Health care comparison information and program. Requires the state department of health to establish a health care price data system to make information concerning certain health care services available to the public. Requires a health care provider to inform a covered individual of certain information when making a referral for a recommended health care service. Requires a health plan to make health care price information available to the public and specifies requirements for a health plan designed to create an incentive for a covered individual to compare health care provider prices. Makes conforming amendments.
Last Action
Senator Stoops added as coauthor
1/31/2019