PREVENTIVE CARE AND PAYMENT REFORM ACT.

View NCGA Bill Details2013-2014 Session
House Bill 934 (Public) Filed Thursday, April 11, 2013
A BILL TO BE ENTITLED AN ACT TO PROHIBIT CERTAIN STOP-LOSS INSURANCE FOR EMPLOYERS WITH FEWER THAN TWENTY EMPLOYEES, UNLESS THE EMPLOYER PROVIDES A MEDICAL HOME FOR ITS EMPLOYEES.
Intro. by Murry, Collins.

Status: Ref To Com On Insurance (House Action) (Apr 15 2013)

Bill History:

H 934

Bill Summaries:

  • Summary date: Apr 16 2013 - More information

    Amends GS 58-50-130(a)(5), prohibiting insurers from issuing a specific stop-loss policy at an amount less than $60,000 per covered life or any aggregate stop-loss policy to a self-insured small employer with 20 or fewer eligible employees unless the self-insured small employer (1) provides a medical home that provides health care screenings for its employees, (2) is focused on outcomes and key performance indicators, and (3) is reimbursed on an outcomes rather than fee-for-service basis.

    Applies to stop-loss policy contracts entered into, amended, or renewed on or after October 1, 2013.


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