Bill > LB1119

This bill adopts the Direct Primary Care Pilot Program Act and the Nebraska Right to Shop Act. The Direct Primary Care Pilot Program Act establishes a pilot program within the Nebraska State Insurance Program to offer state employees direct primary care health plans, which include primary care services, pharmaceutical care, and other medical coverage. The pilot program will run from fiscal year 2019-20 through 2022-23, after which the Department of Administrative Services may continue to offer the direct primary care health plans. The Nebraska Right to Shop Act requires health care entities and insurance carriers to provide cost information to patients and enrollees, respectively, for non-emergency medical services. It also requires insurance carriers to establish a shared savings incentive payment program that provides enrollees with a portion of the carrier's cost savings when the enrollee chooses a lower-cost in-network provider for certain "shoppable" health care services. The bill also amends existing law to specify that payments made under the Nebraska Right to Shop Act are not considered insurance premium rebates.