Local public employers would get health claims data after written requests

Health coverage providers would share complete claims data with local public employers. This covers providers serving employees of towns, counties, school boards, property tax funded special districts, and other local public bodies. Employers must ask for their own data in writing. Providers must share it for free and follow federal medical privacy rules. Providers could be fined up to $5,000 for each day they violate the rule. The state insurance department must investigate violations and order disclosure if it finds one. Providers would have 60 days after receiving a written request. This rule would start on the 180th day after the bill becomes law.

Drug benefit managers would share prescription claims data, rebate amounts, and details of a pricing practice called spread pricing. This covers managers serving employees of towns, counties, school boards, property tax funded special districts, and other local public bodies. Employers must ask for their own data in writing. Managers must share it for free and follow federal medical privacy rules. Managers could be fined up to $5,000 for each day they violate the rule. The state insurance department must investigate violations and order disclosure if it finds one. Managers would have 60 days after receiving a written request. This rule would start on the 180th day after the bill becomes law.