Bill > S575

This bill amends Section 11 of Chapter 176J, a law related to health insurance carriers, by adding a new provision that requires carriers to categorize non-profit hospitals into different tiers, or levels, based solely on their adjusted total medical expenses, but only if that hospital is the only acute care hospital located within a 20-mile radius. This means that for isolated hospitals, their cost of providing medical services will be the only factor used to determine their tier, which could impact how they are reimbursed or how they are presented to consumers in health plan networks.