An Act to address health care costs through the cost benchmark and rate review processes
This bill requires health care entities (like hospitals, insurers, and clinics) that exceed state-set cost growth targets to submit and implement a "performance improvement plan." Entities failing to file plans, implement them properly, or falsifying data face escalating fines - up to $750,000 for repeated violations - with penalties deposited into a dedicated Healthcare Payment Reform Fund. The law mandates ongoing data analysis to identify high-cost providers and grants the health policy commission authority to enforce compliance through penalties or delayed rate approvals. It directly targets cost control for large health care organizations, aiming to align spending with state benchmarks.
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1 primary · 0 co-sponsors
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Legislator
Party
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District
P
Pat Duffy
DDemocratic
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