Utah was one of the first states to operate an APCD, and claims to be the first to begin tracking and analyzing episodes of care, which will be an important feature of risk-sharing based payment systems in a number of states looking to reduce private payer and Medicaid expenditures. Utah’s Governor has also pitched an alternative to Medicaid expansion, and began the process of obtaining the necessary legislative approval and HHS waivers to bring affordable healthcare to Utah’s low-income population not covered by the state’s existing Medicaid rolls or ACA premium subsidies.
In the 2018 legislative term, the legislature introduced several bills aimed at healthcare price transparency and cost control, including SB 208, which would prohibit a pharmacy benefits manager from preventing a pharmacist from disclosing cost information to a patient, and HB 19, which rewards insurance enrollees for selecting high-quality and low-cost health care providers.
The State Database
The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare.
LEGISLATION: The Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ), created by The Source on Healthcare Price & Competition and Catalyst for Payment Reform, catalogues state legislation governing price transparency, provider market power, provider payment, provider networks, and benefit design. The database also includes pharmaceutical legislation beginning in the 2017-2018 legislative session. *Note: Current legislative session bill updates are ongoing. Check back weekly for updates.
LITIGATION: The Source tracks major litigation and antitrust enforcement action by federal entities (FTC or DOJ), state attorney generals, and private parties in the main provider and insurer markets, particularly legal challenges of healthcare consolidation and anticompetitive contract provisions. Additionally, the database contains major pharmaceutical cases including legislation challenges and significant appellate cases.
Search the database across all jurisdictions on the State Overview page, or view and filter existing legislation or litigation on individual state pages. The database allows customized search and filter by keyword, status, and/or key issue category. *Multiple filter/selections enabled. Click here for User Guide.