STUDY STATE HEALTH PLAN DESIGN.

View NCGA Bill Details2019-2020 Session
House Bill 184 (Public) Filed Tuesday, February 26, 2019
AN ACT TO EXAMINE THE NEEDS AND CONCERNS OF STATE EMPLOYEES PARTICIPATING IN THE NORTH CAROLINA STATE HEALTH PLAN FOR TEACHERS AND STATE EMPLOYEES AND TO FURTHER STUDY REDESIGNING THE STATE HEALTH PLAN IN A WAY THAT ADOPTS NEW PRACTICES AND PAYMENT METHODOLOGIES THAT PROMOTE HEALTH WHILE INCENTIVIZING PARTICIPATION FROM BOTH ENROLLEES AND PROVIDERS.
Intro. by Dobson, Howard, Brisson, Adcock.

Status: Ref To Com On Rules and Operations of the Senate (Senate action) (Apr 4 2019)
H 184

Bill Summaries:

  • Summary date: Apr 3 2019 - More information

    House amendment #1 to the 2nd edition makes the following changes. Adds the State Treasurer as a member of the Joint Legislative Study Committee on the Sustainability of the North Carolina State Health Plan (Committee; previously, the State Treasurer was an ex officio, nonvoting member). Eliminates the provisions allowing the Committee to increase its membership by majority vote. 


  • Summary date: Mar 26 2019 - More information

    House committee substitute to the 1st edition makes the following changes. Provides for a seventeen-member Joint Legislative Study Committee on the Sustainability of the North Carolina State Health Plan (was, sixteen members) by adding a second member appointed by the State Employees' Association. Requires that the Committee make its final report to the General Assembly by December 15, 2019 (was, April 1, 2020).


  • Summary date: Feb 26 2019 - More information

    Includes whereas clauses. Creates a sixteen-member Joint Legislative Study Committee on the Sustainability of the North Carolina State Health Plan as title indicates. Directs the study to consider multiple issues relating to State Health Plan Design. Requires that the Committee report to the General Assembly by April 1, 2020, at which time the Committee will terminate. 

    Requires that from January 1, 2019, through December 31, 2021, the State Treasurer, the State Health Plan for Teachers and State Employees (State Health Plan), the Board of Trustees of the State Health Plan, and the Executive Administrator of the State Health Plan continue to use the Blue Cross Blue Shield of North Carolina Blue Options provider network and to reimburse participating network providers in accordance with 100% of the applicable fee schedule. Also prohibits using any reference-based pricing model to reimburse providers during this same period. Does not apply to any Medicare advantage plans or plans described in GS 135-48.40(e) offered by the State Health Plan.


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