Bill > H4639

This bill establishes the Honorable Peter V. Kocot Act to enhance access to high quality, affordable and transparent healthcare in the Commonwealth. The key provisions of the bill include: - Requiring the Center for Health Information and Analysis (CHIA) and the Health Policy Commission (HPC) to review and evaluate scope of practice proposals for healthcare providers, and provide recommendations to the legislature. - Establishing the Prevention and Wellness Trust Fund to support community-based preventive services and public health interventions. - Enhancing the data and reporting requirements for pharmacy benefit managers and pharmaceutical manufacturing companies. - Requiring the HPC to establish a state health planning council to develop a comprehensive state health plan. - Creating an academic detailing program within the HPC to provide outreach and education to healthcare providers on the therapeutic and cost-effective use of prescription drugs. - Expanding Medicaid coverage for genetically targeted drugs for Duchenne muscular dystrophy. - Requiring carriers to use the standard quality measure set established by CHIA for contracts with providers and plan design. - Establishing new requirements for provider directories and dispute resolution processes for surprise medical bills. - Assessing a one-time surcharge on certain acute hospitals and their payers to support the Community Hospital Reinvestment Trust Fund. - Making other changes related to nursing homes, stroke care, administrative costs, and healthcare trust funds.

https://malegislature.gov/Bills/190/H4639