The proposed bill aims to enhance medical cost transparency for health care facilities in North Dakota by creating a new section in chapter 23-12 of the North Dakota Century Code. It defines "health care facility" and "items and services," requiring these facilities to publicly disclose a list of standard charges for various services, including shoppable services as outlined in federal regulations. Additionally, the bill establishes penalties for non-compliance, with civil penalties varying based on the size of the facility, and allows for enforcement through civil proceedings or administrative hearings.
Furthermore, the bill amends section 26.1-47-02, which governs preferred provider arrangements. It introduces a requirement that preferred providers must attest to their compliance with federal transparency rules and regulations. The amendment also allows health care insurers to terminate contracts with preferred providers who fail to comply with these transparency requirements. Other provisions ensure that preferred provider arrangements do not unfairly deny benefits, restrict providers from entering into other arrangements, or penalize providers for reporting issues that may jeopardize patient welfare.
Statutes affected: INTRODUCED: 26.1-47-02
Prepared by the Legislative Council staff for Representative Hendrix: 26.1-47-02
FIRST ENGROSSMENT: 26.1-47-02
Adopted by the Senate Human Services Committee: 26.1-47-02