SB 152
This bill enacts provisions related to health benefit plan cost sharing.
This bill enacts provisions related to health benefit plan cost sharing.
This bill modifies existing legislation regarding health care facilities in Utah. It sets specific standards for different types of facilities like general acute hospitals, specialty hospitals, home health agencies, and freestanding emergency departments. Notably, the bill requires that these facilities should always be ready to receive patients, have appropriate staff available and offer certain mandatory services. For instance, a general acute or a specialty hospital should be open 24/7 with at least one visiting physician. The qualifications of these physicians are also stated. For home health agencies, it instructs to provide at least licensed [...]
This bill proposes amendments to the current insurance laws related to telemedicine services. It mandates that a health benefit plan on the individual, small, or large group market must at minimum cover telemedicine services paid for by Medicare and treatment for mental health conditions under certain circumstances. Such services should meet the same standard of care as in-person treatment. Furthermore, the bill calls for providers of telemedicine services to be reimbursed at a rate that is at least 90% of the rate for the equivalent in-person services, starting from agreements renewed or created after [...]
Among other things, requires a pharmacy benefit manger to pass through pharmaceutical rebates to health benefit plans.
A post-employment restrictive covenant between a health care provider and the health care employee is void.
In this first healthcare merger watch of 2023, we highlight some consolidation activities from the first quarter in the healthcare industry. In a trend that has continued in recent years, healthcare entities in the latest proposed and pending deals are increasingly exploring consolidation in new and innovative ways, across different geographic regions and involving different healthcare players in the industry. Even though federal and state antitrust enforcers often successfully challenge traditional, horizontal mergers and acquisitions, transactions involving cross-market consolidation are typically not challenged due to less straightforward legal and economic theories in proving potential [...]