WEST VIRGINIA LEGISLATURE

2022 REGULAR SESSION

Introduced

Senate Bill 574

By Senators Maroney, Nelson, Takubo, and Weld

[Introduced February 03, 2022; referred
to the Committee on Health and Human Resources]

A BILL to amend the Code of West Virginia, 1931, as amended, by adding thereto a new section, designated §5-16-30, relating to the West Virginia Public Employees Insurance Act and, reimbursement of hospital inpatient rates by the plan.

Be it enacted by the Legislature of West Virginia:

ARTICLE 16. WEST VIRGINIA PUBLIC EMPLOYEES INSURANCE ACT.

§5-16-30.  Hospital inpatient rates.

(a) By October 1, 2022, the plan shall reimburse any hospital that provides inpatient care to a nonmandatory permissive participant beneficiary, as defined in §5-16-22 of this code, at rates negotiated between the hospital and the plan.

(b) Nothing in this section limits the authority of the director under §5-16-3(c) and §5-16-9 of this code, including, but not limited to, his or her authority to manage provider contracting and payments and to designate covered and noncovered services. 

(c) This section does not limit the authority of the director, the plan, or the plans under §5-16-11 of this code.

NOTE: The purpose of this bill is to require the PEIA plan to reimburse hospitals that provide inpatient care to a nonmandatory permissive participant beneficiary at rates negotiated between the hospital and the plan.

Strike-throughs indicate language that would be stricken from a heading or the present law and underscoring indicates new language that would be added.