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Committee adopts Shield Act amendment to prevent vaccine-decliners from lowering provider quality scores
Summary
The committee approved an amendment to SB 2070 (the Shield Act) to prevent insurance quality-measure formulas from counting patients who declined certain vaccinations in denominator calculations, a change sponsors said aligns state practice with recent federal CMS guidance and protects pediatricians' reimbursements.
Chairman Watson introduced SB 2070, the Shield Act, telling committee members the bill would stop managed care organizations from including patients who documented that they declined a vaccine in the denominator for vaccination-related quality metrics used to calculate provider payments and tiers.
Drew Schonaker, who described himself as the bill's primary technical architect, said the legislation was designed…
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