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NC H934

Bill

Official Source

Status

Introduced

4/11/2013

Primary Sponsor

Thomas Murry

Click for details

Origin

House of Representatives

2013-2014 Session

AI Summary

  • Prohibits stop-loss insurance policies with coverage limits below $60,000 per covered life for self-insured employers with 20 or fewer employees, unless the employer provides a medical home.
  • Medical home requirement includes providing health care screenings, focusing on outcomes and key performance indicators, and using outcomes-based reimbursement rather than fee-for-service payment.
  • Applies to stop-loss policy contracts entered into, amended, or renewed on or after October 1, 2013.
  • Also prohibits insurers from administering self-insured plans or providing stop-loss coverage to small employers that fails to comply with underwriting, rating, and other applicable standards.

Legislative Description

Preventive Care and Payment Reform Act

Last Action

Ref To Com On Insurance

4/15/2013

Committee Referrals

Insurance4/15/2013

Full Bill Text

No bill text available