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10 01, 2023

HB 1162

Health insurance; discrimination prohibited against covered entities and contract pharmacies. Prohibits carriers and pharmacy benefits managers from discriminating in the requirements, exclusions, terms, or other conditions imposed on a covered entity or contract pharmacy on the basis that the entity or pharmacy is operating under the 340B Program of the federal Public Health Service Act. Such prohibition does not (i) apply to drugs with an annual estimated per-patient cost exceeding $250,000 or (ii) prohibit the identification of a 340B reimbursement request. The bill also prohibits a carrier or pharmacy benefits manager from interfering in [...]

HB 1162
10 01, 2023

SB 426

State plan for medical assistance services; remote patient monitoring. Directs the Board of Medical Assistance Services to amend the state plan for medical assistance services to provide for the payment of medical assistance for (i) remote patient monitoring services provided via telemedicine for patients who have experienced a chronic or acute health condition who have had two or more hospitalizations or emergency department visits related to such health condition in the previous 12 months, when there is evidence that the use of remote patient monitoring is likely to prevent readmission to a hospital or [...]

SB 426
10 01, 2023

SB 428

Health insurance; carrier disclosure of certain information. Requires each health insurance carrier, beginning July 1, 2025, to establish and maintain an online process that (i) links directly to e-prescribing systems and electronic health record systems that utilize the National Council for Prescription Drug Programs SCRIPT standard; (ii) can accept electronic prior authorization requests from a provider; (iii) can approve electronic prior authorization requests for which no additional information is needed by the carrier to process the prior authorization request, no clinical review is required, and that meet the carrier's criteria for approval; and (iv) [...]

SB 428
10 01, 2023

HB 478

Secretary of Health and Human Resources; wholesale prescription drug importation program. Directs the Secretary of Health and Human Resources (the Secretary) to establish a wholesale prescription drug importation program that complies with the requirements of federal law and to report annually by October 1 to the Governor and the Chairmen of the House Committees on Appropriations and Health, Welfare and Institutions and the Senate Committees on Finance and Appropriations and Education and Health on the wholesale prescription drug importation program. The bill also requires the Secretary to (i) convene a workgroup composed of relevant [...]

HB 478
10 01, 2023

HB 481

Hospitals; price transparency. Requires every hospital to make information about standard charges for items and services provided by the hospital available on the hospital's website by July 1, 2023. The bill directs the Secretary of Health and Human Resources to develop recommendations for implementation of the bill and to report those recommendations to the Governor and the Chairmen of the House Committee on Health, Welfare and Institutions and the Senate Committee on Education and Health by November 1, 2022.

HB 481
10 01, 2023

HB 537

Telemedicine; out of state providers; behavioral health services. Allows certain practitioners of professions regulated by the Boards of Medicine, Counseling, Psychology, and Social Work who provide behavioral health services and who are licensed in another state, the District of Columbia, or a United States territory or possession and in good standing with the applicable regulatory agency to engage in the practice of that profession in the Commonwealth with a patient located in the Commonwealth when (i) such practice is for the purpose of providing continuity of care through the use of telemedicine services and [...]

HB 537
10 01, 2023

HB 580

Covenants not to compete; health care professionals; civil penalty. Adds health care professionals as a category of employee with whom no employer shall enter into, enforce, or threaten to enforce a covenant not to compete. The bill defines "health care professional" as any physician, nurse, nurse practitioner, physician's assistant, pharmacist, social worker, dietitian, physical and occupational therapist, and medical technologist authorized to provide health care services in the Commonwealth. The bill provides that any employer that violates the prohibition against covenants not to compete with an employee health care professional is subject to a [...]

HB 580
10 01, 2023

HB 146

Insurance; examinations; health care provider panels. Requires the State Corporation Commission to conduct an examination of the business and affairs of an insurer upon (i) request by a statewide association representing health care professionals affirming no less than 10 complaints alleging insurer misconduct in a six-month period from providers participating in such insurer's network or (ii) verifiable information that such insurer has violated any law, regulation, or prior order of the Commission. The bill requires the Commission to publish a reasonably detailed summary of each violation and any corrective action plan on the Commission [...]

HB 146
10 01, 2023

HB 878

Comprehensive health care coverage program. Directs the Department of Medical Assistance Services (the Department) to establish a program to provide state-funded comprehensive health care coverage for individuals in the Commonwealth who (i) are younger than 19 years of age, aged 65 years or older, or pregnant; (ii) are not covered under a group health plan or health insurance coverage; and (iii) but for their immigration status, would be eligible for medical assistance services through the Commonwealth's program of medical assistance services established pursuant to Title XIX and Title XXI of the federal Social Security [...]

HB 878
10 01, 2023

HB 912

Health insurance; health care provider panels; termination of provider. Requires a carrier, when the carrier terminates a provider from the carrier's provider panel, to permit the provider to render health care services to any of the carrier's enrollees who request to continue receiving health care services from the provider for a period of at least 180 days. Under current law, a carrier is required to permit the provider to render health care services to any of the carrier's enrollees who are in an active course of treatment and request to continue receiving health care [...]

HB 912
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