AN ACT relating to state health insurance; requiring the department of administration and information to study and make recommendations for bundled payments to health care providers under the state employees' and officials' group health insurance plan; requiring a report; and providing for an effective date.
HealthcareLabor
Enacted
This bill passed the Legislature and reached final enactment based on the latest official action.
Sponsor
Labor
Last action
2020-03-10
Official status
enrolled
Effective date
3/10/2020
Plain English Breakdown
The bill summary does not provide specific details on potential cost savings or exact changes to be made, leaving these points as unknowns.
Health Insurance Costs Study
This law requires a study on how bundled payments could save money for state health insurance plans and recommends changes to make these savings happen.
What This Bill Does
Requires the Department of Administration and Information (A&I) to study ways to use 'bundled payments' in the State Employees' and Officials' Group Health Insurance Plan.
Asks A&I to look at how making one payment for a whole course of treatment could save money compared to paying separately for each service or procedure.
Requires A&I to suggest changes to the insurance plan that would allow health care providers to accept bundled payments, including volume guarantees and discounted copayments for patients who use these providers.
Tells A&I to report their findings and recommendations to a committee by August 31, 2021.
Who It Names or Affects
The Department of Administration and Information (A&I) will have to do the study and make recommendations.
Health care providers in Wyoming who might accept bundled payments could be affected if A&I recommends changes to the insurance plan.
State employees and officials covered by the State Employees' and Officials' Group Health Insurance Plan may see changes in their health insurance benefits.
Terms To Know
Bundled payment
A single payment made for a course of treatment, covering all services related to that treatment, rather than separate payments for each service or procedure.
Volume guarantee
An agreement where the insurance plan promises to send a certain number of patients to a provider who accepts bundled payments.
Limits and Unknowns
The bill does not specify how much money could be saved or what exact changes would be made to the health insurance plan.
It is unclear if and when any recommendations from A&I will actually become part of the state's health insurance plan.
Amendments
These notes stay tied to the official amendment files and metadata from the legislature.
Standing Committee • Senate Labor, Health and Social Services Committee
Adopted
Plain English: The amendment modifies the bill to allow the department to create a network of health care providers who accept bundled payments and extends the deadline for reporting recommendations.
Adds language allowing the department to establish and manage a network of healthcare providers that agree to receive bundled payments.
Removes the original report submission date of September 30, 2020, and changes it to August 31, 2021.
The amendment text does not provide details on how the network will be created or maintained.
It is unclear what specific recommendations are expected from the department regarding bundled payments.
Bill History
2020-03-10LSO
Assigned Chapter Number 47
2020-03-10Governor
Governor Signed SEA No. 0010
2020-03-06House
H Speaker Signed SEA No. 0010
2020-03-05Senate
S President Signed SEA No. 0010
2020-03-04LSO
Assigned Number SEA No. 0010
2020-03-04House
H 3rd Reading:Passed 55-5-0-0-0
2020-03-03House
H 2nd Reading:Passed
2020-03-02House
H COW:Passed
2020-02-28House
H Placed on General File
2020-02-28House
H10 - Labor:Recommend Do Pass 8-0-1-0-0
2020-02-24House
H Introduced and Referred to H10 - Labor
2020-02-24House
H Introduced and Referred to {NextAssignedTo}
2020-02-18House
H Received for Introduction
2020-02-17Senate
S 3rd Reading:Passed 29-0-1-0-0
2020-02-14Senate
S 2nd Reading:Passed
2020-02-13Senate
S COW:Passed
2020-02-12Senate
S Placed on General File
2020-02-12Senate
S10 - Labor:Recommend Amend and Do Pass 5-0-0-0-0
2020-02-10Senate
S Introduced and Referred to S10 - Labor 29-0-1-0-0
2020-02-07Senate
S Received for Introduction
2020-01-13LSO
Bill Number Assigned
Official Summary Text
Bill Summary - 20LSO-0298
Bill No.:
SF0038
Effective:
Immediately
LSO No.:
20LSO-0298
Enrolled Act No.:
10
Chapter No.:
47
Prime Sponsor:
Joint Labor, Health & Social Services Interim Committee
Catch Title:
Health insurance costs-bundled payment study.
Subject:
Controlling health insurance costs.
Summary/Major Elements:
The act requires the Department of Administration and Information (A&I) to study and make recommendations for bundled payments to health care providers under the State Employees' and Officials' Group Health Insurance Plan ("Plan").
Making bundled payments means making one (1) payment to cover a course of treatment for a particular disease or health problem, rather than making individual payments for each treatment or service provided to a patient.
Under the bill, A&I must study the potential benefits and cost savings associated with making bundled payments to health care providers who provide services that are reimbursed by the Plan.
The bill requires A&I to report its findings to the Joint Labor, Health and Social Services Interim Committee by August 31, 2021.
The above summary is not an official publication of the Wyoming Legislature and is not an official statement of legislative intent. While the Legislative Service Office endeavored to provide accurate information in this summary, it should not be relied upon as a comprehensive abstract of the bill.
Current Bill Text
Read the full stored bill text
20LSO-0298
ORIGINAL Senate
File No
.
SF0038
ENROLLED ACT NO. 10,
SENATE
SIXTY-FIFTH LEGISLATURE OF THE STATE OF WYOMING
2020 Budget Session
AN ACT relating to state health insurance; requiring the department of administration and information to study and make recommendations for bundled payments to health care providers under the state employees' and officials' group health insurance plan; requiring a report; and providing for an effective date.
Be It Enacted by the Legislature of the State of Wyoming:
Section 1
.
(a)
The department of administration and information shall complete an assessment of its claims experience in the state employees' and officials' group insurance plan to identify potential costs savings that could be gained by entering into bundled payment arrangements with Wyoming hospitals or other Wyoming health care providers. Among other appropriate categories, the department shall consider and study bundled payments for high volume procedures and diagnoses and other diagnoses and procedures that are high cost.
(b)
In consultation with Wyoming providers, the department of administration and information shall develop a proposed amendment to the state employees' and officials' group health insurance plan that would implement any viable bundled payment cost saving measures identified pursuant to subsection (a) of this section and that would:
(i)
Allow agreements with health care providers who agree to accept bundled payments that provide for volume guarantees or other terms beneficial to the health care providers;
(ii)
Allow discounted copayments or other incentives for plan enrollees who agree to receive care from health care providers who accept bundled payment arrangements;
(iii)
The department may create and maintain a network of providers who accept bundled payments and maintain ownership of that network.
(c)
The department of administration and information shall recommend a procedure for implementation of the proposed amendment to the state employees' and officials' group insurance plan.
(d)
The department of administration and information shall study and identify any potential savings to the state that could result from implementation of the proposed amendment to the state employees' and officials' group insurance plan.
(e)
The department of administration and information shall recommend any changes to Wyoming law that would be necessary or advisable for implementation of the proposed plan amendment.
(f)
The department of administration and information may make any other recommendations that it deems prudent or advisable.
(g)
The department of administration and information shall make a report of the findings and recommendations required under this act to the joint labor, health and social services interim committee not later than August 31, 2021.
Section 2.
This act is effective immediately upon completion of all acts necessary for a bill to become law as provided by Article 4, Section 8 of the Wyoming Constitution.
(END)
Speaker of the House
President of the Senate
Governor
TIME APPROVED: _________
DATE APPROVED: _________
I hereby certify that this act originated in the Senate.
Chief Clerk
1