Bill > H4605

This bill, known as the Honorable Peter V. Kocot Act, aims to enhance access to high quality, affordable and transparent healthcare in the Commonwealth. The key provisions of the bill include: - Requiring the Health Policy Commission to review and evaluate scope of practice proposals that would change the authority of a healthcare provider to provide certain services. - Establishing the Prevention and Wellness Trust Fund to support community-based preventive services and interventions. - Expanding the responsibilities and authority of the Health Policy Commission to monitor the location and distribution of healthcare services and resources. - Requiring the Health Policy Commission to establish a prescription drug academic detailing program to provide information to providers on the therapeutic and cost-effective use of prescription drugs. - Authorizing the Health Policy Commission to contract with a third-party to conduct an annual study on pharmaceutical companies with pipeline, generic, or biosimilar drugs that may significantly impact state healthcare expenditures. - Enhancing oversight and transparency around pharmacy benefit managers and pharmaceutical manufacturing companies. - Requiring carriers to use the standard quality measure set established by the Center for Health Information and Analysis in contracts with providers and to assign tiers to providers. - Establishing an efficient dispute resolution process for out-of-network provider bills and surprise medical bills. - Providing coverage for telemedicine services in various state-regulated health plans. - Assessing a surcharge on certain acute hospitals and pharmacy benefit managers to fund the Community Hospital Reinvestment Trust Fund.

https://malegislature.gov/Bills/190/H4605