House Health Care - 2026-01-28 - 1:00PM

Legislative Health Policy Committee · January 29, 2026

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2:10:06

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Panel intro and transfer to Jen Carvey

Presentation

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Chair (unnamed in transcript) calls Jen Carvey to present language changes in the bill, noting the discussion will begin with section 10. Jen Carvey (Equal Civil Legislative Council) will walk committee through edits to Act 111.

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Discussion of proposed changes to Act 111 including a $25,000 definition for "high dollar" claims, narrowing prior-authorization exemptions for some primary care providers, a new site-neutral billing framework for outpatient services, and authorization to pursue a Section 1332 reinsurance waiver; testimony included an independent physical therapist and hospital representatives debating economic impacts.

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