Struck = removed from the bill ·
added = the amendment's new text.
EXEMPTSession (Reprinted(80th) withA amendmentsSB472 adopted1008 onAmendment MayNo. 30, 2019) FIRST REPRINT S.B.
4721008 SSenate ENATEAmendment Bto ILLNSenate OBill .No.
472–COMMITTEE472 ON(BDR COMMERCE40-1145) ANDProposed LABORby: M ARCH 25, 2019 ____________ Referred to Committee on Health and Human Services SUMMARY—Establishes a database of information concerning health insurance claims in this State.
Senate Committee on Finance Amends:
Summary:
No Title:
Yes Preamble:
No Joint Sponsorship:
No Digest:
Yes Adoption of this amendment will:
(2) ADD an appropriation where one does not currently exist in S.B.
472..
472 (§§ 12, 16).
ASSEMBLY ACTION Initial and Dat| SENATE ACTION Initial and Date Adopted Lost | Adopted Lost Concurred In Not | Concurred In Not Receded Not | Receded Not EXPLANATION:
Matter in (1) blue bold italics is new language in the original bill;
(2) variations of green bold underlining is language proposed to be added in this amendment;
(3) red strikethrough is deleted language in the original bill;
(4) purple double strikethrough is language proposed to be deleted in this amendment;
(5) orange double underlining is deleted language in the original bill proposed to be retained in this amendment.
KCR/EGO - Date:
5/28/2019 S.B.
No.
472—Establishes a database of information concerning health insurance claims in this State.
(BDR 40-1145) Page 1 of 11 *A_SB472_1008* Senate Amendment No.
1008 to Senate Bill No.
472 Page 3 SENATE BILLN O.
472–C OMMITTEE ON C OMMERCE AND LABOR M ARCH 25,2019 _______________ Referred to Committee on Health and Human Services SUMMARY—Establishes a database of information concerning health insurance claims in this State.
Existing law provides for the collection and maintenance of data and the issuance of reports concerning the prices of prescription drugs and cancer.
(NRS 439B.600-439B.695, 457.230-457.280) Section 8 of this bill requires the Department of Health and Human Services to establish an all-payer claims database of information relating to health insurance claimsauthorizes resultingthe fromDepartment medical,to dental or establish an advisory committee if necessary, to assist thetheon 8 Department inmentin to establishing and maintaining the database.
Section 9 of this bill requires any public - *SB472_R1* – 2 – or private insurer that provides health benefits and is regulated under state law to submit data to the database.
Section 11 of this bill requires a person or entity that Sectionwishes 12to ofobtain thisdata billfrom prescribes the conditionsdatabase underto whichsubmit such a request mayto be granted, which differ depending on the sensitivityDepartment. of the data requested.
Section 12 of this bill prescribes the conditions under which such a request may be granted, which:
(1) differ depending on the sensitivity of the data requested;
and (2) include the payment of a fee.
Section 13 of this bill requires the Department to publish a report at leastSenate annuallyAmendment concerningNo. the quality, efficiency and cost of health care in this State using data from the database.
Sections1008 14 and 18 of this bill require the Department to submitSenate certainBill reportsNo. to the Legislature concerning theSection 15 of this bill provides an exemption from civil and criminal liability to:
472 Page 4 from the database.
Sections 14 and 18 of this bill require the Department to submit certainng data reports to the Legislature concerning the establishment, operation and funding of the database.
Section 15 of this bill provides an exemption from civil and criminal liability to:
Section 16 requires such regulations to establishto administrativethe database;
and (2) any person or entity that accesses, maintains, uses or discloses datadatadata from the database in an unauthorized manner.
- *SB472_R1* – 3 – Sec.
(1)Senate EnsureAmendment theNo. accuracy of the data and the consistency of records;
1008 to Senate Bill No.
472 Page 5 (1) Ensure the accuracy of the data and the consistency of records;
3.2.
Each health carrier, governing body of a local government agency that provides health insurance through a self-self-insurance insurance reserve fund pursuant to NRS 287.010 or entity required by the regulations adopted pursuant to section 16 of this - *SB472_R1* – 4 – act to submit data to the database and the Public Employee Benefits Program shall submit to the all-payer claims database the data prescribed by the Department pursuant to section 16 of this act.
2.Senate Amendment No.
1008 to Senate Bill No.
472 Page 6 2.
- *SB472_R1* – 5 – 3.
The Department may release data from the all-all-payer payer claims database that contains direct patient identifiers, indirect patient identifiers, proprietary financial information or any combination thereof to a person or entity approved by the Department that:
and (c) Has submitted a request that meets the requirements of this section.section and the fee prescribed pursuant to section 16 of this act.
and - *SB472_R1* – 6 – (b) Submitted a request that meets the requirements of this section.section and the fee prescribed pursuant to section 16 of this act.
and (b) Submitted a request that meets the requirements of this section.section and the fee prescribed pursuant to section 16 of this act.
The Department may release data from the all-payer claims database that does not contain direct patient identifiers, indirect patient identifiers or proprietarySenate financialAmendment informationNo. to a person or entity approved by the Department that has submitted a request that meets the requirements of this section.
1008 to Senate Bill No.
472 Page 7 proprietary financial information to a person or entity approved by the Department that has submitted a request that meets the requirements of this section and the fee prescribed pursuant to section 16 of this act.
An agreement concerning the use of data from the all-all-payer payer claims database executed pursuant to subsection 1, 2 or 3 must include, without limitation:
or - *SB472_R1* – 7 – (b) Disclose or use the data in any manner other than as described in the request submitted pursuant to section 11 of this act.
A report published pursuant to subsection 1 must not contain information identified as relating to a specific provider of health care, health facility or entity that reports data pursuant to section 9 of this act unless the provider of health care, health facility or entity to which the information pertains isSenate allowedAmendment toNo. view the report before publication, request corrections of any errors in the information and comment on the reasonableness of the conclusions of the report.
1008 to Senate Bill No.
472 Page 8 is allowed to view the report before publication, request corrections of any errors in the information and comment on the reasonableness of the conclusions of the report.
On or before December 31 of each even-even-numbered numbered year, the Department shall submit to the Director of the Legislative Counsel Bureau for transmittal to the Legislature a report concerning the cost, performance and effectiveness of the - *SB472_R1* – 8 – all-payer claims database and any recommendations to improve the all-payer claims database.
(b) AdministrativeFees penaltiesfor obtaining data from the database pursuant to besection assessed12 against:of this act.
Such fees must be calculated to cover the costs incurred by the Department to carry out the provisions of sections 2 to 16, inclusive, of this act.
(c) Administrative penalties to be assessed against:
and -Senate *SB472_R1*Amendment –No. 9 – (b) Any other regulations necessary to carry out the provisions of sections 2 to 16, inclusive, of this act.
1008 to Senate Bill No.
472 Page 9 (b) Any other regulations necessary to carry out the provisions of sections 2 to 16, inclusive, of this act.
Except as otherwise provided in this section and NRS 1.4683, 1.4687, 1A.110, 3.2203, 41.071, 49.095, 49.293, 62D.420, 62D.440, 62E.516, 62E.620, 62H.025, 62H.030, 62H.170, 62H.220, 62H.320, 75A.100, 75A.150, 76.160, 78.152, 80.113, 81.850, 82.183, 86.246, 86.54615, 87.515, 87.5413, 87A.200, 87A.580, 87A.640, 88.3355, 88.5927, 88.6067, 88A.345, 88A.7345, 89.045, 89.251, 90.730, 91.160, 116.757, 116A.270, 116B.880, 118B.026, 119.260, 119.265, 119.267, 119.280, 119A.280, 119A.653, 119B.370, 119B.382, 120A.690, 125.130, 125B.140, 126.141, 126.161, 126.163, 126.730, 127.007, 127.057, 127.130, 127.140, 127.2817, 128.090, 130.312, 130.712, 136.050, 159.044, 159A.044, 172.075, 172.245, 176.01249, 176.015, 176.0625, 176.09129, 176.156, 176A.630, 178.39801, 178.4715, 178.5691, 179.495, 179A.070, 179A.165, 179D.160, 200.3771, 200.3772, 200.5095, 200.604, 202.3662, 205.4651, 209.392, 209.3925, 209.419, 209.521, 211A.140, 213.010, 213.040, 213.095, 213.131, 217.105, 217.110, 217.464, 217.475, 218A.350, 218E.625, 218F.150, 218G.130, 218G.240, 218G.350, 228.270, 228.450, 228.495, 228.570, 231.069, 231.1473, 233.190, 237.300, 239.0105, 239.0113, 239B.030, 239B.040, 239B.050, 239C.140, 239C.210, 239C.230, 239C.250, 239C.270, 240.007, 241.020, 241.030, 241.039, 242.105, 244.264, 244.335, 247.540, 247.550, 247.560, 250.087, 250.130, 250.140, 250.150, 268.095, 268.490, 268.910, 271A.105, 281.195, 281.805, 281A.350, 281A.680, 281A.685, 281A.750, 281A.755, 281A.780, 284.4068, 286.110, 287.0438, 289.025, 289.080, 289.387, 289.830, 293.4855, 293.5002, 293.503, 293.504, 293.558, 293.906, 293.908, 293.910, 293B.135, 293D.510, 331.110, 332.061, 332.351, 333.333, 333.335, 338.070, 338.1379, 338.1593, 338.1725, 338.1727, 348.420, 349.597, 349.775, 353.205, 353A.049, 353A.085, 353A.100, 353C.240, 360.240, 360.247, 360.255, 360.755, 361.044, 361.610, 365.138, 366.160, 368A.180, 370.257, 370.327, 372A.080, 378.290, 378.300, 379.008, 379.1495, 385A.830, 385B.100, 387.626, 387.631, 388.1455, 388.259, 388.501, 388.503, 388.513, 388.750, 388A.247, 388A.249, 391.035, 391.120, 391.925, 392.029, 392.147, 392.264, 392.271, 392.315, 392.317, 392.325, 392.327, 392.335, 392.850, 394.167, 394.1698, - *SB472_R1* – 10 – 394.447, 394.460, 394.465, 396.3295, 396.405, 396.525, 396.535, 396.9685, 398A.115, 408.3885, 408.3886, 408.3888, 408.5484, 412.153, 416.070, 422.2749, 422.305, 422A.342, 422A.350, 425.400, 427A.1236, 427A.872, 432.028, 432.205, 432B.175, 432B.280, 432B.290, 432B.407, 432B.430, 432B.560, 432B.5902, 433.534, 433A.360, 437.145, 439.840, 439B.420, 440.170, 441A.195, 441A.220, 441A.230, 442.330, 442.395, 442.735, 445A.665, 445B.570, 449.209, 449.245, 449A.112, 450.140, 453.164, 453.720, 453A.610, 453A.700, 458.055, 458.280, 459.050, 459.3866, 459.555, 459.7056, 459.846, 463.120, 463.15993, 463.240, 463.3403, 463.3407, 463.790, 467.1005, 480.365, 480.940, 481.063, 481.091, 481.093, 482.170, 482.5536, 483.340, 483.363, 483.575, 483.659, 483.800, 484E.070, 485.316, 501.344, 503.452, 522.040, 534A.031, 561.285, 571.160, 584.655, 587.877, 598.0964, 598.098, 598A.110, 599B.090, 603.070, 603A.210, 604A.710, 612.265, 616B.012, 616B.015, 616B.315, 616B.350, 618.341, 618.425, 622.310, 623.131, 623A.137, 624.110, 624.265, 624.327, 625.425, 625A.185, 628.418, 628B.230, 628B.760, 629.047, 629.069, 630.133, 630.30665, 630.336, 630A.555, 631.368, 632.121, 632.125, 632.405,Senate 633.283,Amendment 633.301,No. 633.524, 634.055, 634.214, 634A.185, 635.158, 636.107, 637.085, 637B.288, 638.087, 638.089, 639.2485, 639.570, 640.075, 640A.220, 640B.730, 640C.400, 640C.600, 640C.620, 640C.745, 640C.760, 640D.190, 640E.340, 641.090, 641.325, 641A.191, 641A.289, 641B.170, 641B.460, 641C.760, 641C.800, 642.524, 643.189, 644A.870, 645.180, 645.625, 645A.050, 645A.082, 645B.060, 645B.092, 645C.220, 645C.225, 645D.130, 645D.135, 645E.300, 645E.375, 645G.510, 645H.320, 645H.330, 647.0945, 647.0947, 648.033, 648.197, 649.065, 649.067, 652.228, 654.110, 656.105, 661.115, 665.130, 665.133, 669.275, 669.285, 669A.310, 671.170, 673.450, 673.480, 675.380, 676A.340, 676A.370, 677.243, 679B.122, 679B.152, 679B.159, 679B.190, 679B.285, 679B.690, 680A.270, 681A.440, 681B.260, 681B.410, 681B.540, 683A.0873, 685A.077, 686A.289, 686B.170, 686C.306, 687A.110, 687A.115, 687C.010, 688C.230, 688C.480, 688C.490, 689A.696, 692A.117, 692C.190, 692C.3507, 692C.3536, 692C.3538, 692C.354, 692C.420, 693A.480, 693A.615, 696B.550, 696C.120, 703.196, 704B.320, 704B.325, 706.1725, 706A.230, 710.159, 711.600, and section 10 of this act, sections 35, 38 and 41 of chapter 478, Statutes of Nevada 2011 and section 2 of chapter 391, Statutes of Nevada 2013 and unless otherwise declared by law to be confidential, all public books and public records of a governmental entity must be open at all times during office hours to inspection by any person, and may be fully copied or an abstract or memorandum may be prepared from those public books and public records.
Any1008 such copies, - *SB472_R1* – 11 – abstracts or memoranda may be used to supplySenate theBill generalNo. public with copies, abstracts or memoranda of the records or may be used in any other way to the advantage of the governmental entity or of the general public.
472 Page 10 632.405, 633.283, 633.301, 633.524, 634.055, 634.214, 634A.185, 635.158, 636.107, 637.085, 637B.288, 638.087, 638.089, 639.2485, 639.570, 640.075, 640A.220, 640B.730, 640C.400, 640C.600, 640C.620, 640C.745, 640C.760, 640D.190, 640E.340, 641.090, 641.325, 641A.191, 641A.289, 641B.170, 641B.460, 641C.760, 641C.800, 642.524, 643.189, 644A.870, 645.180, 645.625, 645A.050, 645A.082, 645B.060, 645B.092, 645C.220, 645C.225, 645D.130, 645D.135, 645E.300, 645E.375, 645G.510, 645H.320, 645H.330, 647.0945, 647.0947, 648.033, 648.197, 649.065, 649.067, 652.228, 654.110, 656.105, 661.115, 665.130, 665.133, 669.275, 669.285, 669A.310, 671.170, 673.450, 673.480, 675.380, 676A.340, 676A.370, 677.243, 679B.122, 679B.152, 679B.159, 679B.190, 679B.285, 679B.690, 680A.270, 681A.440, 681B.260, 681B.410, 681B.540, 683A.0873, 685A.077, 686A.289, 686B.170, 686C.306, 687A.110, 687A.115, 687C.010, 688C.230, 688C.480, 688C.490, 689A.696, 692A.117, 692C.190, 692C.3507, 692C.3536, 692C.3538, 692C.354, 692C.420, 693A.480, 693A.615, 696B.550, 696C.120, 703.196, 704B.320, 704B.325, 706.1725, 706A.230, 710.159, 711.600, and section 10 of this act, sections 35, 38 and 41 of chapter 478, Statutes of Nevada 2011 and section 2 of chapter 391, Statutes of Nevada 2013 and unless otherwise declared by law to be confidential, all public books and public records of a governmental entity must be open at all times during office hours to inspection by any person, and may be fully copied or an abstract or memorandum may be prepared from those public books and public records.
Any such copies, abstracts or memoranda may be used to supply the general public with copies, abstracts or memoranda of the records or may be used in any other way to the advantage of the governmental entity or of the general public.
For the Fiscal Year 2019-2020......................................$1,4052019-2020.........................................................$1,405 For the Fiscal Year 2020-2021..................................$429,7072020-2021.....................................................$429,707 2.
Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure afterSenate JuneAmendment 30No. of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2020, and September 17, 2021, respectively, by either the entity to which the money was appropriated or the entity - *SB472_R1* – 12 – to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2020, and September 17, 2021, respectively.
1008 to Senate Bill No.
472 Page 11 after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2020, and September 17, 2021, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2020, and September 17, 2021, respectively.
(a) Develop a report concerning the implementation of sections 2 to 16, inclusive, of this act, including, without limitation, the cost of implementing the all-payerall- payer claims database and the technical progress made toward full implementation of the all-payer claims database;
and (b) Submit the report to the Director of the Legislative Counsel Bureau(1)Bureau Infor 2019,transmittal theto: Legislative Committee on Health Care and the Interim Finance Committee.
(1) In 2019, the Legislative Committee on Health Care and the Interim Finance Committee.
This section and sections 1 to 17, inclusive, of this act [becomes] become effective:
[1.] (a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act;
and [2.] (b) On January 1, 2020, for all other purposes.
H - *SB472_R1*