1508-S AMH MACR BLAC 131
SHB 1508 - H AMD 331
By Representative Macri
ADOPTED 03/06/2023
On page 2, line 17, after "benchmark." insert "Such action should be implemented in a progressive manner, such that health care providers and payers are assisted to come into compliance with cost targets, including through technical assistance and performance improvement plans, before assessing fines, unless there are egregious violations."
On page 2, line 33, after "analysis" insert ", the provision of technical assistance,"
On page 5, line 14, after "chapters" strike "43.71, 43.71C" and insert "43.70, 43.71, 43.71C, 43.371"
On page 5, line 21, after "state" insert ". The board shall not require reporting of the same or similar data from a payer or health care provider if the data are available from an existing source"
On page 5, line 26, after "benchmark." insert "By July 1, 2024, the authority, in consultation with the board, shall adopt rules governing the health care cost growth benchmark that will be applicable beginning in 2026."
On page 12, beginning on line 24, strike all of section 9 and insert the following:
"NEW SECTION. Sec. 9. A new section is added to chapter 43.71C RCW to read as follows:
Information collected pursuant to this chapter may be shared with the health care cost transparency board established under chapter 70.390 RCW, subject to the same disclosure restrictions applicable under this chapter."
Correct the title.
| EFFECT: States that the intent of the Legislature is that action by the Health Care Cost Transparency Board (Board) against entities that exceed the health care cost growth benchmark should be implemented in a progressive manner, including through technical assistance and performance improvement plans, before assessing fines.
Adds the provision of technical assistance to the list of activities that the Health Care Authority (HCA) may conduct to support the Board.
Adds references to data collected by the Department of Health and the All-Payer Health Care Claims Database to the specified data sources that the Board may use. Prohibits the Board from requiring reporting of the same or similar data from health care providers and payers if the data are available from existing sources.
Requires the HCA to adopt rules governing the health care cost growth benchmark that will be applicable in 2026, by July 1, 2024.
Applies the sharing of information under the prescription drug utilization reporting requirements to sharing all reported data, rather than only pharmacy benefit manager data. Limits the sharing of the data to only the Board and removes sharing the data with other health care cost analysis efforts.
|
--- END ---