VA SB639 | 2019 | Regular Session

Status

Spectrum: Partisan Bill (Republican 5-0)
Status: Introduced on January 10 2018 - 25% progression, died in committee
Action: 2018-11-30 - Left in Finance
Pending: Senate Finance and Appropriations Committee
Text: Latest bill text (Comm Sub) [HTML]

Summary

Health care shared savings; incentive programs. Requires health carriers to establish a comparable health care service incentive program under which savings are shared with a covered person who elects to receive a covered health care service from a lower-cost provider. Incentive payments shall be at least 50 percent of the saved cost compared to the average cost. Incentive payments are not required for savings of $25 or less. Programs are required to be approved by the Commissioner of Insurance. The measure also requires health carriers to make available an interactive mechanism on their website that enables a covered person to compare costs between providers in-network, calculate estimated out-of-pocket costs, and obtain quality data for those providers, to the extent available. The measure authorizes covered persons to obtain health care services from out-of-network providers if their costs are below the average of in-network providers. The measure requires health care facilities and practitioners to provide a covered person an estimate of charges prior to an admission, procedure, or service. All health care providers are required to post in a visible area notification of the patient's ability to obtain information in order to get an estimate of out-of-pocket costs from his health carrier and to compare providers.

Tracking Information

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Title

Health care shared savings; incentive programs.

Sponsors


Roll Calls

2018-02-08 - Senate - Senate: Continued to 2019 in Finance (16-Y 0-N) (Y: 16 N: 0 NV: 0 Abs: 0) [PASS]
2018-02-05 - Senate - Senate: Reported from Commerce and Labor with substitute (13-Y 1-N) (Y: 13 N: 1 NV: 0 Abs: 0) [PASS]

History

DateChamberAction
2018-11-30SenateLeft in Finance
2018-02-08SenateContinued to 2019 in Finance (16-Y 0-N)
2018-02-05SenateRereferred to Finance
2018-02-05SenateCommittee substitute printed 18106135D-S1
2018-02-05SenateReported from Commerce and Labor with substitute (13-Y 1-N)
2018-01-10SenateReferred to Committee on Commerce and Labor
2018-01-10SenatePrefiled and ordered printed; offered 01/10/18 18104607D

Code Citations

ChapterArticleSectionCitation TypeStatute Text
321134.5(n/a)See Bill Text
3823461(n/a)See Bill Text
3823466(n/a)See Bill Text
3824214(n/a)See Bill Text
3824319(n/a)See Bill Text
5412962.3(n/a)See Bill Text

Virginia State Sources


Bill Comments

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