Bill Summary

by Health & Human Services Committee, Brodeur  CS Sponsors: Appropriations Committee

State Group Insurance Program: Revises applicability of certain definitions regarding state group insurance program; defines term "plan year"; authorizes program to include additional benefits; authorizes employee to use certain portion of state's contribution to purchase additional & supplemental benefits; provides for program to offer health plans in specified benefit coverage levels; provides for DMS to develop plan for implementation of benefit levels; provides reporting requirements; provides for expiration of implementation plan; authorizes additional benefits to be included in program; provides that DMS shall contract with at least one entity that provides comprehensive pricing & inclusive services for surgery & other medical procedures; provides contract & reporting requirements; provides for DMS to establish 3-year price transparency pilot project in certain areas of state; provides project & reporting requirements; directs DMS to contract with independent benefits consultant; provides requirements for & duties of consultant; provides reporting requirement; deletes requirement that DMS base decision as to whether to implement certain 90-day supply limit on determination that it would be in best financial interest of state; revises pharmacy dispensing fee; authorizes retail pharmacy to fill 90-day supply of certain drugs; repeals reversion of provisions relating to state employees' prescription drug program; directs DMS to provide premium alternatives to Governor & Legislature by specified date; provides criteria for calculating premium alternatives; provides that GAA shall establish premiums for enrollees that reflect differences in benefit design & value among plan options; provides appropriation & authorizes positions. Effective Date: July 1, 2014

   H Appropriations Committee