Substitute Senate Bill No. 242 modifies the current law regarding the All-Payer Claims Database (APCD) by introducing new provisions for data reporting and usage. The bill mandates that, starting June 30, 2026, nonclaims data related to alternative payment models and other financial transactions must be included in the APCD, with recommendations for reporting requirements to be developed by the APCD Advisory Group by February 1, 2025. Hospitals are now required to submit community benefit program reporting to the Office of Health Strategy (OHS), including a community health needs assessment, implementation strategy, and annual status report, without relying on APCD data provision exemptions. The bill also empowers the executive director of OHS to seek funding, impose civil penalties for noncompliance, and use APCD data to inform consumers and stakeholders about health care costs and quality. The bill's provisions are set to take effect on October 1, 2024, and it has passed the Public Health Committee with a Joint Favorable Substitute.

The bill also removes the previous exemption for hospitals from certain reporting requirements if they did not receive APCD data, and it expands the definition of the APCD to include nonclaims data by June 30, 2026. The executive director of OHS is tasked with summarizing and analyzing hospital community benefit program reporting, identifying stakeholders to address community health needs, and making recommendations for the state health plan. For-profit entities licensed as acute care general hospitals are also required to submit similar community benefit program reporting. The bill allows for the imposition of civil penalties on entities that fail to comply with reporting requirements and outlines the process for contracting and managing the APCD program. There is no expected fiscal impact as the additional workload is anticipated to be managed by existing staff.

Statutes affected:
Raised Bill:
PH Joint Favorable Substitute:
File No. 383: