S 3896 (see companion bill A 5626) – New Jersey
Introduced: 2023 Status: In Process
Imposes certain rate filing requirements concerning certain health benefits plans available on State-based exchange.
S 7293 (see companion bill A 7554) – New York
Introduced: 2023 Status: In Process
Relates to the performance standards that must be met by managed long term care plans; enables managed long term care plans operated by organizations that also operate an Institutional Special Needs Plan (ISNP) or a …
SB 108 – Rhode Island
Introduced: 2023 Status: In Process
Requires EOHHS working with the auditor general to develop a plan within two (2) years of the passage of this act to transition to a fee-for-service state-run Medicaid program.
SB 209 – Kentucky
Introduced: 2023 Status: Enacted Year Enacted: 2023
Amend KRS 304.5-150, relating to reinsurance treaties and contracts, to include gender-neutral language. Delete original provisions; amend KRS 304.17A-164 to add exemption for health savings account-qualified high deductible health plans; make technical corrections. Amend KRS …
SB 29 – Kentucky
Introduced: 2023 Status: Inactive / Dead
Create a new section of KRS Chapter 205 to establish eligibility criteria for Medicaid managed care organizations and limit the number of managed care organizations contracted by the Department for Medicaid Services to no more …
SB 308 (see companion bill HB 332) – Tennessee
Introduced: 2023 Status: Inactive / Dead
TennCare – As introduced, requires the bureau to contract with at least one managed care organization that is partnered with a provider participation entity; establishes eligibility requirements for such entities to contract with TennCare; prohibits …
SB 437 – California
Introduced: 2017 Status: Inactive / Dead
Health care coverage: joint senior level working group: This bill would also require the joint working group maintained by the Department of Managed Health Care and the Department of Insurance to review and examine timely …
SF 2079 (see companion bill HF 2145) – Minnesota
Introduced: 2023 Status: In Process
NONDISCRIMINATION AGAINST PROVIDERS WITHIN A GEOGRAPHIC AREA. (a) Notwithstanding any law to the contrary, no health carrier shall deny a health care provider the right to contract with the health carrier as an in-network provider …
SF 2664 (see companion bill HF 693) – Minnesota
Introduced: 2023 Status: In Process
This bill directs the commissioner of human services to establish a direct provider payment system for medical assistance (MA) and MinnesotaCare, to be implemented beginning January 1, 2026. The bill requires the commissioner to reimburse …
Wash. Rev. Code § 41.05.021. State health care authority–Director–Cost control and delivery strategies–Health information technology–Managed competition–Rules: State Health Care Authority – Washington
Status: Enacted Year Enacted: 1988
Creates the Washington State Health Care Authority, tasked with controlling health care costs and improving health care quality.
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Wash. Rev. Code § 41.05.022. State agent for purchasing health services—Single community-rated risk pool: State Health Care Authority – Washington
Status: Enacted Year Enacted: 1993
The health care authority is hereby designated as the single state agent for purchasing health services.
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Wash. Rev. Code § 70.14.020. State agencies to identify alternative health care providers: Health Care Services Purchased by State Agencies – Washington
Status: Enacted Year Enacted: 1986
Requires agencies to identify the availability and costs of non-fee-for-service health care providers and, where feasible, make the services of the alternative provider available to clients, consumers, or employees for whom state dollars are spent …
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Wash. Rev. Code §§ 41.05.004 through 41.05.006, 41.05.011: State Health Care Authority – Washington
Status: Enacted Year Enacted: 1988
Chapter creates the Washington State Health Care Authority, tasked with controlling health care costs and improving health care quality. These sections provide the Intent, Purpose , and Definitions sections for the Chapter (sections 41.05.004 through …
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Wis. Stat. § 146.96. Uniform Claim Processing Form: Miscellaneous Health Provisions – Wisconsin
Status: Enacted Year Enacted: 2001
Beginning no later than July 1, 2004, every health care provider, as defined in s. 146.81 (1) (a) to (p), shall use the uniform claim processing form developed by the commissioner of insurance under s. …
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