Behavioral Health Provider Comparable Worth Study.
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Majority
Fiscal committee
No
Appropriation
No
Current location
Appropriations
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Overview
This bill directs the Department of Industrial Relations to conduct a study examining compensation and reimbursement rates for behavioral health providers compared to medical-surgical providers. The study will analyze payment flows, including those handled by health insurers, intermediaries, and health systems. It requires these entities to report data to the department, and establishes penalties for non-compliance. The goal is to identify and address potential disparities in compensation that may contribute to limited access to behavioral health services.
Key provisions
- Requires a study of compensation and reimbursement for behavioral health and medical-surgical providers.
- Mandates analysis of payment flows, including direct payments, intermediary payments, and payments to health systems.
- Requires health insurers and intermediaries to report data on payments made to providers.
- Establishes civil penalties for non-compliance with reporting requirements.
- Defines key terms related to the study, such as ‘behavioral health provider,’ ‘compensation,’ and ‘intermediary.’
- Requires the department to develop a methodology for determining comparable provider roles.
- Sets a deadline of January 1, 2028, for the department to submit a report to the Legislature.
- Includes findings related to the need for confidentiality and aggregation of data.
Who is affected
- Health insurers
Bill text
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