RIGHT TO SHOP ACT
Summary
Creates the Right to Shop Act. Requires a carrier offering a health plan to develop and implement a program that provides incentives for enrollees in a health plan who elect to receive a comparable health care service from a provider that collects less than the average in-network allowed amount paid by that carrier to a network provider for that comparable health care service. Provides how incentives may be calculated, distributed, and offered. Requires the carrier to file a description of the health care service incentive program with the Department of Insurance. Requires a carrier to establish an interactive mechanism on its website to enable an enrollee to request the estimated amount the carrier would pay to a network provider for a comparable health care service. Requires the Director of Central Management Services to conduct an analysis on the cost effectiveness of implementing an incentive-based program for current enrollees and retirees of the State group health benefits plan. Requires a program found to be cost effective to be implemented as part of the next open enrollment. Effective immediately.
Bill status
in committee
1 of 4 stages cleared
Introduction
Feb 2019
Committee Review
Floor Vote
Governor
Introduced Feb 5, 2019
Last action Jun 24, 2020
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
40
Key actions
2
Committee
6
Jun 24, 2020
Committee
Pursuant to Senate Rule 3-9(b) / Referred to Assignments
upper
Mar 28, 2019
Committee
Rule 3-9(a) / Re-referred to Assignments
upper
Mar 22, 2019
Upper · Passed
Rule 2-10 Committee Deadline Established As March 28, 2019
upper
Mar 20, 2019
Upper · Passed
To Subcommittee on Special Issues (IN)
upper
Feb 13, 2019
Committee
Assigned to Insurance
upper
Feb 5, 2019
Committee
Referred to Assignments
upper
0 primary · 19 co-sponsors
Sponsors
No sponsor information available.
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