Amendment ID: S3116-52

Amendment 52

PIP Applicability

Mr. Crighton moves that the proposed new draft be amended in section 9, by inserting after the words “primary care services” in line 331 the following words:- ", including but not limited to community benefits, community health investments, grants, and other non-claims based investments"; and

in said section 9, by striking out, in line 334, the words “, and (v) other factors” and inserting in place thereof the following words:- "(v) the needs of the health care entity’s patient population; (vi) if the health care entity does not provide primary care services; and (vii) other factors"; and

in said section 9, by inserting after the words “health care entity” in line 393 the following words:- "that provides primary care services"; and

in said section 9, by striking out, in lines 398 to 402, the words “, including suspending new member attribution to the health care entity, and may assess a civil penalty to the health care entity of not more than $500,000 for a first violation, not more than $750,000 for a second violation and not more than the amount by which the health care entity failed to meet the primary care expenditure target for a third or subsequent violation”.