The bill mandates the Agency for Health Care Administration to contract for an analysis of referrals made by Medicaid managed care organizations and plans to affiliated service providers. It requires the contractor to collect and analyze data to assess the extent of ownership, controlling interests, or profit-sharing arrangements between managed care plans and the service providers they refer patients to. Additionally, the analysis must compare the costs of services provided through these referrals with those offered by other providers under contract with the managed care plans.

Furthermore, the bill stipulates that the Agency for Health Care Administration must submit a report detailing the findings of this analysis to the Governor, the President of the Senate, and the Speaker of the House of Representatives by July 1, 2026. The act is set to take effect on July 1, 2025.

Statutes affected:
H 815 Filed: 409.967