Bill Summary for S 408 (2019-2020)

Summary date: 

May 1 2019

Bill Information:

View NCGA Bill Details2019-2020 Session
Senate Bill 408 (Public) Filed Thursday, March 28, 2019
AN ACT TO PROVIDE A COST OF LIVING ADJUSTMENT FOR RETIREES OF THE TEACHERS' AND STATE EMPLOYEES' RETIREMENT SYSTEM AND THE CONSOLIDATED JUDICIAL RETIREMENT SYSTEM.
Intro. by Krawiec, Hise, Wells.

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Bill summary

Senate committee substitute makes the following changes to the 1st edition.

Eliminates the proposed changes set out in previous Section 6 of the act, amending GS 135-48.37, GS 44-49, and GS 44-50 (regarding subrogation of the State Health Plan to all Plan member rights of recovery and the Plan's lien priority to all nongovernmental medical liens and rights). Makes conforming organizational changes.

Modifies the proposed changes to the definition of claims payment data set out in GS 135-48.1 to include the rate negotiated with or agreed to by the provider reflected in a Claims Data Feed only if the State Health Plan is the sole provider, if applicable. Also includes data fields within a Claims Data Feed from which can be derived (previously, only that reflect) the provider and the amount billed for services to the Plan member, the allowed amount applied to the claim by processor, the amount paid by the Plan on the claim, and the negotiated rate as added.

Deletes the proposed changes to GS 135-48.32 regarding contracts to provide benefits. Instead exempts from specified use and disclosure parameters set forth in the statute any claim payment data that reflects or is based on rates, fee schedules, or reimbursement methodologies that are supplied to a claims processor by the Plan or used by a claims processor exclusively for claims submitted under the NC State Health Plan Network Contract.

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