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. We currently cover bills from 2017-2019 and key statutes from each state. Search the database for specific bills, statutes or cases by using keyword, key issue category, and/or jurisdiction.
*Note: 2019 legislative session updates are currently in progress. Check back weekly for updates.