305 Ill. Comp. Stat. § 5/5-5.10. Value-based purchasing: Medical Assistance – Illinois
Status: Enacted Year Enacted: 2019
Statute Department of Healthcare and Family Services and divisions within the Department of Human Services to discuss development of alternative value-based payment models that move away from fee-for-service and reward health outcomes ad=nd reward health …
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305 Ill. Comp. Stat. § 5/5-5f. Elimination and limitations of medical assistance services: Medical Assistance – Illinois
Status: Enacted Year Enacted: 2012
Statute requires prior approval for certain services and requires the Department to establish benchmarks for hospitals to measure and align payments to reduce potentially preventable hospital readmissions, complications and unnecessary emergency room visits.
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305 Ill. Comp. Stat. §§ 65/1 through 65/10: Early Mental Health and Addictions Treatment Act – Illinois
Status: Enacted Year Enacted: 2018
In order to address the opiod epidemic, Illinois shall create the Assertive Engagement and Community-Based Clinical Treatment Pilot Program for early treatment of an opioid or other drug addiction. The Department of Healthcare and Family …
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35 Pa. Cons. Stat. § 10227.102. Definitions: Community-Based Health Care Act – Pennsylvania
Status: Enacted Year Enacted: 2013
Defines terms related to the Community-Based Health Care Act
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35 Pa. Cons. Stat. § 10227.111. Community-Based Health Care Program: Community-Based Health Care Act – Pennsylvania
Status: Enacted Year Enacted: 2013
Establishes the Community-Based Health Care Program to expand and improve health care access and services, such as preventive care, chronic care and disease management, prenatal, obstetric, postpartum and newborn care, dental treatment, behavioral health and …
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35 Pa. Cons. Stat. § 10227.112. Powers and duties of department: Community-Based Health Care Act – Pennsylvania
Status: Enacted Year Enacted: 2013
Describes the powers and duties of the department, including putting together an annual report assessing the impact of the program.
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35 Pa. Cons. Stat. § 10227.113. Hospital health clinics: Community-Based Health Care Act – Pennsylvania
Status: Enacted Year Enacted: 2013
Describes the department’s role in establishing hospital health clinics.
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35 Pa. Stat. and Cons. Stat. Ann. §§ 449.111 through 449.133: Pennsylvania Rural Health Redesign Center Authority – Pennsylvania
Status: Enacted Year Enacted: 2019
It is the purpose of this act to protect and promote access by the residents of this Commonwealth to high-quality health care in rural communities by encouraging innovation in health care delivery.
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40 R.I. Gen. Laws § 40-8-29. Selective contracting: Medical Assistance – Rhode Island
Status: Enacted Year Enacted: 2008
States that the department of health and human services may use selective contracting for purchasing services and equipment for Medicaid beneficiairies on the basis of cost and quality.
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42 R.I. Gen. Laws § 42-7.2-16. Medicaid System Reform 2008: Office of Health and Human Services – Rhode Island
Status: Enacted Year Enacted: 2008
Authorizes various state departments to authorized to design options that further the reforms in Medicaid initiated in 2008 to ensure that the program: utilizes competitive and value based purchasing to maximize the available service options, …
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42 R.I. Gen. Laws §§ 42-12.4-1 through 42-12.4-9: Rhode Island Medicaid Remform Act of 2008 – Rhode Island
Status: Enacted Year Enacted: 2008
The executive office of health and human services and the department of human services are authorized and shall apply for and obtain a global waiver and/or any necessary waivers and/or state plan amendments from the …
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42 R.I. Gen. Laws §§ 42-14.6-1 through 42-14.6-9: Rhode Island All-Payer Patient-Centered Medical Home Act – Rhode Island
Status: Enacted Year Enacted: 2011
The general assembly recognizes that patient-centered medical home (PCMH) is an approach to providing comprehensive primary care for children, youth and adults.
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62 Pa. Stat. and Cons. Stat. Ann. §§ 7001 through 7006: Patient-Centered Medical Home Advisory Council Act – Pennsylvania
Status: Enacted Year Enacted: 2015
Governs the Patient-Centered Medical Home Advisory Act and states that the council shall advise the department on how Pennsylvania’s Medicaid program can increase the quality of care while containing costs through Patient-Centered Medical Home model …
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A 1249 – New Jersey
Introduced: 2022 Status: In Process
The Governor’s Fiscal Year 2022 budget recommendations include the enactment of legislation to require the State Health Benefits Commission and School Employees’ Health Benefit Commission to implement a referenced based pricing program for certain elective …
A 1250 (see companion bill S 2821) – New Jersey
Introduced: 2022 Status: In Process
Requires Medicaid and NJ FamilyCare managed care organizations to offer patient-centered medical home model or other alternative payment model to primary care providers.
A 1532 (see companion bill S 3330) – New York
Introduced: 2017 Status: Inactive / Dead
Enacts the “safe staffing for quality care act” to require acute care facilities and nursing homes to implement certain direct-care nurse to patient ratios in all nursing units; sets minimum staffing requirements; requires every such …