This omnibus appropriations legislation would require a report on primary care spending and establish a Health Care Affordability Board that may consider establishing quality and primary care spending standards.
This omnibus appropriations legislation would require a report on primary care spending and establish a Health Care Affordability Board that may consider establishing quality and primary care spending standards.
Requires commercial plans covering 500 or more lives, the State Employees Benefit plan and the Green Mountain Care Board to increase the proportion of health care spending allocated to primary care by 1% a year until reaching 12%.
S 595 would establish a Primary Care Payment Reform Task Force charged with defining primary care, reporting on current primary care spend, and identify data systems to inform establishment of a primary care investment target for the state. A version of this bill was enacted as part of S. 259, the 2023 Appropriations Bill.
This bill proposes to require health insurers, the State Employees’ Health Benefit Plan, and the health plans offered to school employees to increase the percentage of total health care spending they allocate to primary care to at least 15 percent and would require the next all-payer model agreement with the federal government to include a provision requiring annual increases in primary care spending in Medicare.
S. 750 would establish a multistakeholder Primary Care Board with a goal of increasing primary care spend to 12-15% of overall health care expenditures. The bill would also require all insurers in the state to offer a prospective, per member per month Primary Care 4 You payment to all primary care practices. The payment would be adjusted for clinical and social risk and practice capacity. Monthly prospective payments would be paid from a Primary Care Trust, rather than individual plans.
Amends states all-payer claims database statute to require submission of value-based, non-claims-based payments to providers. State analysis of the data must permit calculation and reporting of the amount of those non-claims-based payments relative to overall health care payments, as well as the percentage of those payments that go to primary care.
Elements of this bill were enacted as part of SF2995
Primary care spending would be subject to measurement, analysis and annual reporting under this broader legislation establishing health care spending growth benchmarks for the state.
This 2022 California Health and Human Services Budget bill established the California Office of Health Care Affordability, required ongoing reporting, and established a process to set targets for primary care spend in the state.
This bill required the state Department of Health and Human Resources to contract with the Virginia Center for Health Innovation for actions necessary to facilitate and continue the work of the Virginia Task Force on Primary Care. The purpose of the task force is to enhance the financing, quality and delivery of primary care in the Commonwealth.
Requires Oklahoma state Medicaid managed care entitities to report on the percent of medical expenditures devoted to primary care. Requires managed care entities to increase primary care expenditures to a minimum of 11% of medical expenditures within four years.