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WV HB2130

Bill

Status

Introduced

2/12/2025

Primary Sponsor

Matthew Rohrbach

Click for details

Origin

House of Delegates

2025 Regular Session

AI Summary

  • Sets the Public Employees Insurance Agency (PEIA) reimbursement rate at exactly 110% of Medicare rates for all providers, removing the previous "minimum" language that allowed for rates at or above that level

  • Requires West Virginia hospitals providing inpatient care to PEIA beneficiaries to be reimbursed at 110% of the Medicare diagnosis-related group rate or the Medicare per diem rate for critical access hospitals

  • Excludes Medicare primary retiree health plans from the 110% reimbursement rate requirement

  • Maintains existing requirements for 80/20 premium cost-sharing between employers (80%) and employees (20%), including subsidization of retired employee benefits

Legislative Description

Relating to setting the rate the Public Employees Insurance Agency shall pay for services

Insurance

Last Action

To House Finance

2/12/2025

Committee Referrals

Finance2/12/2025

Full Bill Text

No bill text available