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WV HB2130
Bill
Status
2/12/2025
Primary Sponsor
Matthew Rohrbach
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AI Summary
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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
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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
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Excludes Medicare primary retiree health plans from the 110% reimbursement rate requirement
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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