This legislation requires that several program integrity and cost-saving measures be implemented in Medicaid as a condition for the continued expansion of eligibility to able-bodied adults under the Affordable Care Act. These conditions include a work requirement and enrollment caps for able-bodied adults and a requirement that the improper payment rate in Medicaid be reduced to 5 percent or less.
Amends existing law to provide for enforcement of provisions applicable to pharmacy benefit managers.
The purpose of this legislation is to establish minimum and uniform standards and criteria for the audit of pharmacy records by or on behalf of pharmacy benefit managers and other authorized entities.
2022 has been an active year in healthcare consolidation as well as for merger challenges and enforcement. As we approach the year end, healthcare deals continued as many entities seek to close the transactions before the new year. Increasingly, as seen in the 4th quarter, healthcare deals are shifting to cross-market transactions, making review and enforcement efforts more challenging. In case you missed it, this final Litigation and Enforcement Highlights of the year will help you catch up on some of the cross-market deals in Q4 2022 that caught our attention. Advocate Aurora [...]
HEALTH SAVINGS ACCOUNTS -- Amends existing law to revise provisions regarding the state contribution to state employees' health savings accounts.
HEALTH -- Amends existing law to clarify interactions that qualify as telehealth services sufficient to establish a prescriber-patient relationship. This legislation amends Chapter 57, the Idaho Telehealth Access Act, to expand the use of asynchronous technology in delivering healthcare services through telehealth. Currently, Idaho law permits the use of asynchronous “store-and-forward” technology, but this definition does not accurately reflect advances in technology that allow providers to treat certain lower-acuity conditions without a real-time audio or visual component. This legislation also amends Section 54-1733 to permit asynchronous prescribing of legend drugs.
TELEHEALTH ACCESS ACT -- Adds to existing law to provide for mental and behavioral health care.
CONSUMER PROTECTION – Amends existing law to prohibit taking advantage of a disaster or an emergency by charging exorbitant or excessive prices for temporary health care services.
