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Senate advances health reform package: billing transparency, insurance portal, 'NET CARE' and market options move forward
Summary
Senators advanced several health-reform task-force bills, notably the third substitute of House Bill 165 (billing transparency and a demonstration project) and the second substitute of House Bill 188 (an insurance-market portal, defined-contribution options and NET CARE). Lawmakers emphasized consumer transparency and market-driven options; HB188 was placed on third reading and later tabled on third due to a fiscal note.
The Utah Senate on March 4 advanced a package of health-care reforms developed by the Legislature’s Health Care Reform Task Force, moving multiple substitutes onto the third-reading calendar.
Senator Bell presented the third substitute of House Bill 165, which aims to improve billing transparency by requiring hospitals to send final billing information after receipt of an insurer’s explanation of benefits so the bill reflects the actual amount a patient owes. Bell said the bill also creates a demonstration project for payment and delivery reforms, standardizes health benefit cards with key data (carrier, network, copay/deductible) and includes a coordination-of-benefits “birthday rule” to determine primary payer when family members have multiple employer…
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