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Office proposes two‑tier penalties to enforce timely health spending data submissions
Summary
Staff proposed a two‑tier enforcement structure to ensure timely and complete data submissions: a flat untimely‑submission penalty and a higher per‑member penalty for failure to submit, with staged extensions, technical assistance and public testimony options.
The Office of Health Care Affordability staff proposed a staged enforcement approach for data submissions that pairs technical assistance with escalating penalties when required filings are late or not provided. Under the plan, data due September 1 would be subject to two optional 15‑day extensions during which the submitter must provide periodic status updates and accept technical assistance. If data are not submitted after those extensions, staff would assess a flat untimely‑submission penalty (illustratively $10,000) and begin progressive enforcement steps that include a 30‑day remediation…
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