12 | 13 | | A BILL TO BE ENTITLED 1 |
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13 | 14 | | AN ACT TO EXTEND AND CLARIFY THE PRIMARY CARE PAYMENT REFORM TASK 2 |
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14 | 15 | | FORCE. 3 |
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15 | 16 | | The General Assembly of North Carolina enacts: 4 |
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16 | 17 | | SECTION 1. Section 9E.28 of S.L. 2023-134 reads as rewritten: 5 |
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17 | 18 | | "SECTION 9E.28.(a) There is established the North Carolina Primary Care Payment 6 |
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18 | 19 | | Reform Task Force (Task Force) within the Department of Health and Human Services, Division 7 |
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19 | 20 | | of Health Benefits, for budgetary purposes only. 8 |
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20 | 21 | | … 9 |
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21 | 22 | | "SECTION 9E.28.(b) The Task Force established under subsection (a) of this section shall 10 |
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22 | 23 | | have the following duties: 11 |
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23 | 24 | | (1) Establish a definition of primary care to be utilized by the Task Force. This 12 |
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24 | 25 | | term should be applicable to services and care provided under the NC 13 |
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25 | 26 | | Medicaid program, the State Health Plan, and commercial insurance. 14 |
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26 | 27 | | (2) Conduct an actuarial evaluation of the current healthcare spend on primary 15 |
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27 | 28 | | care services, both as it relates to the NC Medicaid program and the 16 |
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28 | 29 | | commercial market, including Medicare Advantage plans. 17 |
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29 | 30 | | (3) Determine the adequacy of the primary care delivery system in North 18 |
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30 | 31 | | Carolina, including the impact this system has on the supply of the primary 19 |
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31 | 32 | | care providers in this State. 20 |
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32 | 33 | | (4) Study the primary care payment landscape in other states, specifically 21 |
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33 | 34 | | considering states that have implemented a minimum primary care spend. 22 |
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34 | 35 | | (5) Identify data collection and measurement systems to inform creation of a 23 |
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35 | 36 | | primary care investment target for the NC Medicaid program, the State Health 24 |
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36 | 37 | | Plan, and commercial insurance. This includes a method by which to measure 25 |
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37 | 38 | | improvements made toward that target. 26 |
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38 | 39 | | (5a) Collect and compile data and other information related to healthcare spend on 27 |
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39 | 40 | | primary care services in a manner that is compliant with the Health Insurance 28 |
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40 | 41 | | Portability and Accountability Act of 1996 (HIPAA). Within 30 days of a 29 |
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41 | 42 | | request for data or information from the Task Force, all entities shall comply 30 |
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42 | 43 | | with the Task Force's request. 31 |
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43 | 44 | | (6) Evaluate the need for a permanent Primary Care Payment Reform Task Force, 32 |
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44 | 45 | | or other similar entity, including which State agency or body is best suited to 33 |
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45 | 46 | | oversee the work of that group. 34 |
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46 | 47 | | (7) Perform any other studies, evaluations, or determinations the Task Force 35 |
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49 | 54 | | "SECTION 9E.28.(b1) The Department of Health and Human Services shall develop, and 1 |
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50 | 55 | | the Task Force and the Department of Health and Human Services shall implement, a detailed 2 |
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51 | 56 | | data security and safeguarding plan for the data requested pursuant to subsection (b) of this 3 |
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52 | 57 | | section that includes all of the following: 4 |
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53 | 58 | | (1) Guidelines for authorizing access to the data, including guidelines for 5 |
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54 | 59 | | authentication of authorized access. 6 |
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55 | 60 | | (2) Privacy compliance standards. 7 |
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56 | 61 | | (3) Privacy and security audits. 8 |
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57 | 62 | | (4) Breach planning, notification, and procedures. 9 |
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58 | 63 | | (5) Data retention and disposition policies. 10 |
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59 | 64 | | (6) Data security policies, including electronic, physical, and administrative 11 |
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60 | 65 | | safeguards such as data encryption and training of employees. 12 |
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61 | 66 | | "SECTION 9E.28.(b2) The data collected by the Task Force under subsection (b) of this 13 |
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62 | 67 | | section, regardless of where it is housed, shall not be considered a public record within the 14 |
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63 | 68 | | meaning of Chapter 132 of the General Statutes. 15 |
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64 | 69 | | "SECTION 9E.28.(c) No later than April 1, 2024, and April 1, 2026, the Task Force shall 16 |
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65 | 70 | | submit a report with its findings and recommendations to the Joint Legislative Oversight 17 |
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66 | 71 | | Committee on Health and Human Services and the Joint Legislative Oversight Committee on 18 |
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67 | 72 | | Medicaid. These findings and recommendations shall include specific, concrete, and actionable 19 |
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68 | 73 | | steps to be undertaken by the State and upon which the General Assembly could act. 20 |
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69 | 74 | | "SECTION 9E.28.(d) This section shall expire on May 1, 2024.December 31, 2026." 21 |
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70 | 75 | | SECTION 2. This act is effective retroactive to July 1, 2023. 22 |
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