Bill > H3728

This bill amends existing laws to establish new provisions for the classification and tiering of disproportionate share and geographically isolated hospitals. Specifically, it requires the executive office to set reimbursement rates for disproportionate share hospitals that cover the cost of providing care to Medicaid recipients, and to classify any geographically isolated hospital that provides inpatient and outpatient mental health services as a disproportionate share hospital. Additionally, the bill directs the commissioner of insurance to consider factors such as provider location and services when determining network adequacy, and to classify non-profit geographically isolated hospitals with a relative price of 1.1 or less in the best tier of tiered network plans, while also requiring such hospitals to be accepted providers in limited network products sold to members or employees in the hospital's primary and secondary service area.

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https://malegislature.gov/Bills/190/H3728