summary
Introduced
03/06/2025
03/06/2025
In Committee
04/01/2025
04/01/2025
Crossed Over
03/31/2025
03/31/2025
Passed
Dead
04/12/2025
04/12/2025
Introduced Session
2025 Regular Session
Bill Summary
A BILL to amend the Code of West Virginia, 1931, as amended, by adding a new article, designated §16-67-1, §16-67-2, §16-67-3, §16-67-4, §16-67-5, §16-67-6, §16-67-7, and §16-67-8, relating to hospital transparency; setting forth legislative findings; defining terms; setting forth duties of West Virginia Health Care Authority; setting forth reports to be filed; setting forth the form of the reports to be filed; requiring the submission of public payor information; providing the commissioner may protect information; requiring rulemaking; providing for penalties; and adding effective date.
AI Summary
This bill establishes a comprehensive hospital transparency framework in West Virginia aimed at providing greater public insight into hospital financial operations and healthcare costs. The legislation requires hospitals to publish detailed annual reports on their websites within 120 days of their fiscal year-end, including financial statements such as assets, liabilities, income, expenses, and ownership information. Hospitals must also submit extensive reports to the West Virginia Health Care Authority (WVHCA), including a complete schedule of current rates, a breakdown of services, facility fees, uncompensated and charity care amounts, and copies of discount contracts with third-party payors. The bill mandates that the Public Employees Insurance Agency and the Bureau for Medical Services provide rate information by procedure code on a hospital-by-hospital basis starting July 1, 2026. To ensure compliance, the bill establishes a penalty of $1,000 per day for hospitals that fail to meet reporting requirements after receiving a non-compliance notice. The legislation is motivated by concerns about rising healthcare costs and the impact of hospital consolidation, which studies suggest can increase prices by up to 40%. The bill's ultimate goal is to drive down healthcare costs for consumers and health plans by promoting transparency and enabling better comparison of hospital rates and services. The new transparency requirements will take effect on July 1, 2026, giving hospitals time to prepare for the new reporting standards.
Committee Categories
Health and Social Services
Sponsors (1)
Last Action
House Committee on Health and Human Resources Meeting (15:30:00 4/8/2025 215 East Wing) (on 04/08/2025)
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