Amendment #810 to H4200

Physician Acquisition Transparency Amendment

Mr. Gordon of Bedford moves to amend the bill by adding the following section:

Section X. “Subsection (i) of section 10 of chapter 6D is hereby amended by adding the following paragraph:-

A health care entity that has filed a performance improvement plan under this section shall submit notice to the commission if the health care entity and any of its corporate affiliates acquires a primary care provider or a group practice during the period in which the performance improvement plan is in effect.  An acquisition shall include the employment of or the participation of a primary care provider or group practice in the contracting network of the health care entity and any of its corporate affiliates.  Such notice shall be made not fewer than 60 days prior to the date of acquisition.  If the health care entity charges prices for services that are materially higher than the median prices charged by similar health care entities, the commission shall provide a cost impact estimate of the acquisition.  Such notice and associated cost impact estimate, if applicable, shall be factors in the commission’s determination of whether such plan shall be approved under this section.”