Bill Text: AZ HB2663 | 2016 | Fifty-second Legislature 2nd Regular | Introduced
Bill Title: Behavioral health; uniform patient reporting
Spectrum: Partisan Bill (Democrat 15-0)
Status: (Introduced - Dead) 2016-05-05 - Introduced in House and read first time [HB2663 Detail]
Download: Arizona-2016-HB2663-Introduced.html
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REFERENCE TITLE: behavioral health; uniform patient reporting |
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State of Arizona House of Representatives Fifty-second Legislature Second Regular Session 2016
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HB 2663 |
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Introduced by Representatives Rios, Cardenas, Saldate, Velasquez: Andrade, Clark, Espinoza, Fernandez, Friese, Gabaldón, Gonzales, Hale, Larkin, Mendez, Wheeler
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AN ACT
Amending Title 36, chapter 34, article 1, Arizona Revised Statutes, by adding section 36-3405.01; relating to behavioral health services.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1. Title 36, chapter 34, article 1, Arizona Revised Statutes, is amended by adding section 36-3405.01, to read:
36-3405.01. Uniform patient reporting system; data; reports; confidentiality; costs
A. The administration shall prescribe and implement a uniform patient reporting system for any persons receiving behavioral health services, including mental health treatment and treatment for drug or alcohol dependency and any medical condition associated with these disabilities, and any hospital inpatient and emergency department services.
B. The administration shall require any service provider and its subcontractors to report statistical data designed to promote and provide information on the utilization of services, the effectiveness of the services and the impact of the services on the disabilities, including cost effectiveness and cost containment. These data shall be derivable from the data obtained under the uniform patient reporting system prescribed in subsection A of this section and for all services provided shall include the following:
1. The number of service encounters.
2. The number of encounters per individual patient and the total range and average by each service type, such as inpatient days and outpatient visits.
3. The range of charges and the average charge per day per service type.
4. The average charge per service, calculated as the average length of service stay multiplied by the average charge per service.
C. Each category of data specified in subsection B of this section shall be further categorized by one or more of the following methods as determined by the administration:
1. Discharge diagnoses.
2. Groupings of related diagnoses.
3. Groupings of diagnoses that typically have similar numbers and lengths of service encounters.
4. Any other similar category as determined by the administration.
D. The administration shall require all service providers and subcontractors to report outpatient service statistical data designed to promote cost containment and cost effectiveness. The administration shall adopt rules establishing the procedures for reporting. These data shall be derivable from the data obtained under the uniform patient reporting system prescribed in subsection A of this section and shall include the following:
1. Dates of service.
2. Length and number of services by service environment and service provider.
3. Charges for each service.
E. The administration shall require all service providers to report other clinical and demographic data regarding patient age, gender, ethnicity and insurance coverage for inpatient and emergency department services.
F. The Arizona state hospital shall comply with the reporting requirements specified in subsections B, D and E of this section.
G. The data from the period beginning January 1 and ending June 30 of each year shall be reported on or before August 15 of that year. The data from the period beginning July 1 and ending December 31 of each year shall be reported on or before February 15 of the following year.
H. All reports filed pursuant to this section are open to public inspection at the offices of the administration. The administration shall ensure that this public access to reports does not breach confidentiality of privileged medical information, protected health information or privileged information on an individual's work performance or earnings.
I. If the administration determines that further investigation is necessary or desirable to verify the accuracy of information in reports submitted under this section, the administration may further examine records and accounts related to the reporting requirements of this section. The administration shall bear the costs of this examination unless the administration finds that the records examined are significantly deficient or incorrect, in which case the administration may charge the cost of the investigation to the facility or service provider examined.
