Bill > H994

This bill requires registered provider organizations, which are entities providing healthcare services, to report more information annually to a designated center, likely a state agency responsible for health care financing. This includes details about their organizational structure, the number and type of healthcare professionals they employ, their licensed facilities and their capacities, and comprehensive financial statements covering costs, receipts, gains, losses, surplus, and reserves. Additionally, providers must report on stop-loss insurance, non-fee-for-service payment arrangements, clinical quality, care coordination, referral practices, and expenditures for non-clinical functions like payroll, teaching, research, advertising, and taxes. They will also need to disclose information about charitable care and community benefit programs, and risk-bearing organizations must provide a certificate from the division of insurance. The center will coordinate with other agencies to avoid duplicate reporting and may merge similar requirements. For provider organizations with at least five licensed clinicians, they must also report payer data, similar to what hospitals currently report, with standard systems for reporting and auditing this data to be established by regulation. All these provider reports will be filed with the Joint Committee on Health Care Finance.