Ensures access to primary care, behavioral health, and affordable hospital services by setting reimbursement rates.

This bill sets reimbursement rates for primary care, behavioral health, and hospital services for public employees and their dependents. It mandates that reimbursement for primary care services must be at least 150% of Medicare rates, and for nonfacility-based behavioral health services, it must also be at least 150% of Medicare rates. For hospital services, the bill limits reimbursement to the lesser of billed charges, the contracted rate, or a percentage of Medicare rates, with specific provisions for specialty hospitals and critical access hospitals.

Ensures access to primary care, behavioral health, and affordable hospital services by setting reimbursement rates.

This bill sets reimbursement rates for primary care, behavioral health, and hospital services for public employees and their dependents. It mandates that reimbursement for primary care services must be at least 150% of Medicare rates, and for nonfacility-based behavioral health services, it must also be at least 150% of Medicare rates. For hospital services, the bill limits reimbursement to the lesser of billed charges, the contracted rate, or a percentage of Medicare rates, with specific provisions for specialty hospitals and critical access hospitals.