HF 2795 – Minnesota
Introduced: 2021 Status: Inactive / Dead
Health care providers permitted to establish and make available elective medical service bundle retail prices, provider’s itemized price for individual made binding on provider, provider contract prohibited, and retaliation against provider prohibited.
LD 1768 – Maine
Introduced: 2023 Status: Enacted
This bill provides that: 1. After implementing the alternative payment method for federally qualified health centers similar to the prospective payment system required by federal law but using an updated base year, the Department of …
Md. Code, Ins. §§ 15-1901 through 15-1903: Clinically Integrated Organizations – Maryland
Status: Enacted Year Enacted: 2010
A contract between a carrier and a clinically integrated organization may include a provision to payfor services associated with the coordination of covered medical services to qualifying individuals; and a bonus, fee-based incentive, bundled fees, …
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Me. Stat. tit. 24-A, § 4320-H. Payment reform pilot projects: Health Plan Requirements – Maine
Status: Enacted Year Enacted: 2011
2012 legislation that authorized a pilot program to allow for insurance carriers to implement payment reform strategies with providers through the structure of ACOs. Authorizes Superintendent of Insurance to allow payment reform pilot projects between …
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Minn. Stat. § 256B.0758. Health care delivery pilot program: Medical Assistance for Needy Persons – Minnesota
Status: Enacted Year Enacted: 2015
The commissioner may establish a health care delivery pilot program to test alternative and innovative integrated health care delivery networks, including accountable care organizations or a community-based collaborative care network created by or including North …
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N.J. Rev. Stat. § 45:9-22.5c. Alternative payment model; application: Practice of Medicine and Surgery in General – New Jersey
Status: Enacted Year Enacted: 2017
States that a participant desiring to establish an alternative payment model must submit an application to the Department of Health. The Department of Health shall review the application and notify if the model is approved.
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N.J. Rev. Stat. § 45:9-22.5d. Review of registered alternative payment models by Department of Health; revocation of registration: Practice of Medicine and Surgery in General – New Jersey
Status: Enacted Year Enacted: 2017
States that the Department of Health shall review alternative payment models to determine whether the participants in the alternative payment model have complied with the act and other laws and regulations, and whether the alternative …
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N.Y. Pub. Health Law §§ 2800 through 2826: Hospitals – New York
Status: Enacted Year Enacted: 1965
Among other powers, the council has the authority to establisy the of schedules of rates, payments, reimbursements, grants and other charges for hospital and health-related services
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N.Y. Pub. Health Law §§ 2950 through 2958: Rural Health Care Access – New York
Status: Enacted Year Enacted: 1986
Regulations for NY Rural Health Care Access.
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Or. Rev. Stat. § 243.256. Provider reimbursement for hospital services or supplies; payment methods; application: Public Employee Rights and Benefits – Benefit Plans (Miscellaneous ) – Oregon
Status: Enacted Year Enacted: 2011
A hospital that provides services or supplies under a benefit plan offered by the Public Employees’ Benefit Board shall be reimbursed using the methodology prescribed by the Oregon Health Authority under ORS 442.392 and may …
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Or. Rev. Stat. § 243.879. Provider reimbursement for hospital services or supplies; payment methods; application: Public Employee Rights and Benefits — Oregon Educators Benefit Board – Oregon
Status: Enacted Year Enacted: 2011
A hospital that provides services or supplies under a benefit plan offered by the Oregon Educators Benefit Board shall be reimbursed using the methodology prescribed by the Oregon Health Authority under ORS 442.392 and may …
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Or. Rev. Stat. § 414.025. Definitions: Medical Assistance – General Provisions – Oregon
Status: Enacted Year Enacted: 1965
Definition section for the Medical Assistance chapter.
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Or. Rev. Stat. § 442.392. Development of uniform payment methodology: Health Care Costs – Standardized Payment Methodologies – Oregon
Status: Enacted Year Enacted: 2011
The Oregon Health Authority shall prescribe by rule a uniform payment methodology for hospital and ambulatory surgical center services that: allows for the use of alternative payment methodologies, including but not limited to pay-for-performance, bundled …
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Or. Rev. Stat. §§ 442.392 through 442.396: Health Planning — Health Care Costs (Standardized Payment Method) – Oregon
Status: Enacted Year Enacted: 2011
States that the Oregon Health Authority must develop a uniform payment methodology, which allows for the use of alternative payment methodologies, including but not limited to pay-for-performance, bundled payments and capitation.
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SB 108 – Rhode Island
Introduced: 2023 Status: In Process
Requires EOHHS working with the auditor general to develop a plan within two (2) years of the passage of this act to transition to a fee-for-service state-run Medicaid program.
SB 38 – Wyoming
Introduced: 2020 Status: Enacted
Health insurance costs-bundled payment study. AN ACT relating to state health insurance; requiring the department of administration and information to study and make recommendations for bundled payments to health care providers under the state employees’ …