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PA HB1739
Bill
Status
7/16/2025
Primary Sponsor
Tarik Khan
Click for details
AI Summary
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Establishes an All Payor Claims Database (APCD) within the Health Care Cost Containment Council to collect claims data from health insurers, Medicaid, CHIP, Medicare, third-party administrators, providers, and facilities for medical, mental health, dental, pharmaceutical, and emergency services claims
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Requires minimum appropriation of $4,000,000 for establishment, with the database to be created within 60 days of receiving funding; first public reports due September 1, 2026
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Mandates monthly data submissions by the 15th of each month and annual reports by April 1, with $1,000 per day penalties for failure to submit or correct data
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Creates consumer-facing tools for comparing health care costs and quality, including user-friendly, mobile-friendly, multi-language data visualization; reports must analyze spending trends, geographic cost variations, and network adequacy
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Civil penalties for violations range up to $50,000 per violation (or $100,000 for willful violations), capped at $250,000 per day or $2,500,000 annually; unauthorized release of identifiable data constitutes a first-degree misdemeanor with fines up to $10,000 and/or imprisonment up to 5 years
Legislative Description
Establishing an All Payor Claims Database; imposing duties on the Health Care Cost Containment Council; imposing penalties; and making an appropriation.
Last Action
Referred to Health
7/16/2025