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Committee advances amendment to health bill addressing site-neutral payments, transparency and prior-authorization disputes
Summary
Representative Barrett presented an amendment broadening a health-insurance bill known in committee as "10 o 3," adding provisions on site-neutral payments, reporting for prior-authorization disputes and other transparency measures; the committee voted to report the bill as amended, 7-3.
Representative Barrett presented an 18-page amendment to the bill described in the hearing as "10 o 3," saying it addresses a range of health-insurance topics and still requires further work. "This amendment does, gosh, 12 to 15 things," Barrett said, summarizing changes that include a clearer definition for a Medicare fraud unit, a reportable standard for prior-authorization disputes, carve-outs for some small grant recipients in a 340B-like provision, a delayed effective date for that provision to 2027 and language allowing a reasonable markup on certain sales.
Barrett identified site-of-service payment rules as the largest area of change. He said the amendment tries to avoid a confusing rulemaking…
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