SB 316

Senate amendment to the 3rd edition makes the following changes. Adds statewide data processor (as defined in GS 131E-214.1) to the list of definitions contained in GS 131E-214.13 (disclosure of prices for most frequently reported diagnostic related groups, current procedural terminology, and healthcare common procedure coding systems. Specifies that the quarterly report on the total costs for the described most common surgical and imaging procedures should be submitted to the statewide data processor (was, Department of Health and Human Services [DHHS]) and makes conforming changes. Changes references from DHHS to the statewide data processor in the provisions of GS 131E-214.13 concerning commission rules. Also requires the Commission to establish procedures for the statewide data processor to receive the quarterly data required by GS 131E-214.13 for publication on DHHS’s website. Makes conforming changes to GS 131E-214.4 (duties of the statewide data processor). Modifies the definition of urgent health care service pertaining to utilization reviews to include mental and behavioral health care services.