Every Thursday, Stateside Associates selects health care-related state and local events, legislation, regulation, and programs to highlight in This Week in Health Care.
For more information on our Health Care Practice, please visit here.
STATE HIGHLIGHTS
CALIFORNIA
The Senate Appropriations Committee will meet on April 28 regarding the following measures:
- SB 363: This measure requires a healthcare service plan or health insurer to annually report the total number of claims processed by the health care service plan or health insurer for the prior year and its number of treatment denials or modifications.
Contact: Allison Collins - SB 439: This measure amends existing law to extend the operation of the California Health Benefit Review Program and the Health Care Benefits Fund through July 1, 2032, and more.
Contact: Allison Collins - SB 530: This measure amends existing law to require a managed care plan to ensure that each subcontractor network complies with certain appointment time standards and more.
Contact: Caroline Peter
The Senate Health Committee will meet on April 30 regarding SB 626. This measure requires a healthcare service plan or health insurer to provide case management and care coordination for an enrollee or insured during the perinatal period.
Contact: Olivia O'Donnell
MAINE
The Joint Health Coverage, Insurance, and Financial Services Committee will meet on April 29 regarding LD 1580. This measure provides that PBMs can only earn income from agreed-upon management fees with carriers or health plans.
Contact: Warda Butt
NORTH CAROLINA
The House Health Committee will meet on April 29 regarding HB 906. This bill requires that all applicable health benefit plans in North Carolina provide comprehensive coverage for prosthetic and orthotic devices and care, consistent with federal Medicare Part B standards.
Contact: Allison Collins
The House Health Committee will meet on April 30 regarding HB 567. This measure requires a health benefit plan to provide coverage for biomarker testing for diagnosis, treatment, appropriate care management, or ongoing monitoring of an insured's disease or condition when the testing is supported by medical and scientific evidence.
Contact: Olivia O'Donnell
OREGON
The Senate Health Care Committee will meet on April 29 regarding the following measures:
- HB 3242: This measure amends existing law to require a health insurer to pay a health care provider in the same manner as if they were in-network during a certain time.
Contact: Allison Collins - HB 2540: This measure makes certain health insurers credit certain costs to an enrollee's health plan.
Contact: Allison Collins
GROUPS EVENTS
Federation of State Medical Boards (FSMB)
Annual Meeting
Seattle, WA
April 24-26
National Association of County and City Health Officials (NACCHO)
Preparedness Summit
San Antonio, TX
April 29-May 2
Learn the Latest Developments in Prescription Drug Affordability Boards
Prescription Drug Affordability Boards (PDABs) are gaining substantial influence within the pharmaceutical and healthcare sectors. With multiple states having already established PDABs and others in the process of forming their own, it's important for businesses to actively monitor and assess their progress.
Our comprehensive engagement and monitoring services can help you stay informed on the latest developments in the PDAB landscape. Contact us or visit www.stateside.com/PDABs for more information.
