Ensures access to primary care, behavioral health, and affordable hospital services for public employees.
This bill sets reimbursement limits for primary care, behavioral health, and hospital services for public employees. It mandates that reimbursement for primary care services must be at least 150% of Medicare's reimbursement for similar services, and for nonfacility-based behavioral health services, it must also be at least 150%. For hospital services, reimbursement cannot exceed the lesser of billed charges, the contractor's contracted rate, or a specified percentage of Medicare's reimbursement.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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