Bill Summary for H 928 (2011-2012)

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Summary date: 

May 5 2011

Bill Information:

View NCGA Bill Details2011-2012 Session
House Bill 928 (Public) Filed Wednesday, May 4, 2011
Intro. by Folwell, Murry, Dollar, Jordan.

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Bill summary

Adds a new coverage category to GS 135-45.2 for retirees who are at least age 65, but who do not yet qualify for Medicare. Sets premium contribution rates for these retirees. Amends GS 135-45.11 to direct the State Health Plan (the Plan) to adopt an incentive program to find medical billing errors. Authorizes subrogation by the Plan, in addition to the Plan’s claims processor. Amends GS 135-45.11 to direct the Plan or claims processor to send a questionnaire to Plan members who are in accidents to try to identify third-party tortfeasors. Changes the Plan year to the calendar year, effective January 1, 2013, and provides for a transition period from July 1, 2012, through December 31, 2012. Directs the Plan and claims processors to analyze claims before making payments to try to detect fraud and abuse. Transfers $75 million from the Golden LEAF Foundation to a new State Health Plan Transfer Reserve fund in the office of State Budget and Management, and directs future transfers in 2011 through 2015 of $15 million each year from the Golden LEAF Foundation to the new fund. Encourages the Plan to use the transferred funds to develop a high-deductible maternity benefit option with a Health Savings Account. Effective July 1, 2011, unless otherwise indicated.