H.B. 140

1

CONSUMER-FOCUSED HEALTH DELIVERY AND PAYMENT
2 DEMONSTRATION PROJECT
3 2013 GENERAL SESSION
4 STATE OF UTAH
5 Chief Sponsor: Stewart Barlow
6 Senate Sponsor: ____________
7
8 LONG TITLE
9 General Description:
10 This bill directs the Insurance Department to develop a demonstration project on the
11 subject of consumer-focused health care delivery and payment reform.
12 Highlighted Provisions:
13 This bill:
14 . instructs the Insurance Department to work with health insurers to develop a
15 demonstration project for consumer-focused health care delivery and payment
16 reform and to apply for available health care innovation grants to implement and
17 expand the demonstration project; and
18 . requires the Insurance Department to report to the Health System Reform Task
19 Force regarding the progress towards consumer-focused health delivery and
20 payment reform by January 1, 2015.
21 Money Appropriated in this Bill:
22 None
23 Other Special Clauses:
24 None
25 Utah Code Sections Affected:
26 ENACTS:
27 31A-22-641, Utah Code Annotated 1953

28
29 Be it enacted by the Legislature of the state of Utah:
30 Section 1. Section 31A-22-641 is enacted to read:
31 31A-22-641. Consumer-focused health care delivery and payment reform
32 demonstration project.
33 (1) The Legislature finds that:
34 (a) current health care delivery and payment systems do not provide system wide
35 incentives for the competitive delivery and pricing of health care services to consumers;
36 (b) there is a compelling state interest to encourage consumers to seek high quality, low
37 cost care and educate themselves about health care options;
38 (c) some health care providers and health care payers have developed
39 consumer-focused ideas for health care delivery and payment system reform, but lack the
40 critical number of patient lives and payer involvement to accomplish system-wide
41 consumer-focused reform; and
42 (d) there is a compelling state interest to encourage as many health care providers and
43 health care payers to join together and coordinate efforts at consumer-focused health care
44 delivery and payment reform that would provide to consumers enrolled in a high-deductible
45 health plan:
46 (i) greater choice in health care options;
47 (ii) improved services through competition; and
48 (iii) more affordable options for care.
49 (2) (a) The insurance department shall convene a meeting of health care providers and
50 health care payers for the purpose of coordinating a demonstration project for
51 consumer-focused health care delivery and payment reform.
52 (b) Participation in the coordination efforts by health care providers and health care
53 payers is voluntary, but encouraged.
54 (3) The commissioner shall facilitate a coordinated demonstration project for
55 consumer-focused health care delivery reform and consumer-focused health care payment
56 reform between one or more health care providers and one or more health care payers that elect
57 to participate in the demonstration project by:
58 (a) consulting with health care providers and health care payers who elect to join

59 together in a consumer-based reform demonstration project;
60 (b) applying for health care innovation grants and other assistance that may be
61 available for demonstrating consumer-focused improvements to health care delivery and
62 payment; and
63 (c) adopting administrative rules in accordance with Title 63G, Chapter 3, Utah
64 Administrative Rulemaking Act, as necessary, to develop, oversee, and implement the
65 demonstration project.
66 (4) The commissioner shall report to the Health System Reform Task Force by January
67 1, 2015, regarding the progress toward coordination of consumer-focused health care system
68 payment and delivery reform.




Legislative Review Note
as of 2-11-13 6:43 AM

Office of Legislative Research and General Counsel

[Bill Documents]