CHAPTER 8.5. Health Care Payments Data Program
Heading of Chapter 8.5 amended by Stats. 2020, Ch. 12, Sec. 11.
§§ 127671–127674.1 · 21 sections
- § 127671 (a) The Legislature finds and declares that California has a substantial public interest in the price, cost, utilization, equity, and quality of health care…
- § 127671.1 (a) The department shall establish, implement, and administer the Health Care Payments Data Program to implement and administer the system in accordance with…
- § 127672 (a) (1) The Department of Health Care Access and Information shall convene a Health Care Payments Data Program advisory committee, composed of health care…
- § 127672.8 The department shall ensure that the system can map to other datasets, including public health datasets on morbidity and mortality, and data regarding the…
- § 127672.9 Until June 30, 2028, for purposes of implementing this chapter, including, but not limited to, hiring staff and consultants, facilitating and conducting…
- § 127673 (a) The department shall develop guidance to require data submission from the entities specified in this chapter. The guidance shall include a methodology for…
- § 127673.05 (a) For purposes of this section, “pharmacy benefits manager” or “PBM” means an entity that is required to be licensed pursuant to Section 1385.008. (b)…
- § 127673.1 (a) (1) The department shall report the information it receives pursuant to this chapter in a form that allows valid comparisons across care delivery systems.…
- § 127673.2 (a) In the development of the system, the department or its designee shall consult with state and federal entities, as necessary, to implement the program.…
- § 127673.3 (a) The department shall develop and maintain a master person index, a master index of providers and suppliers, and a master payer index that will enable the…
- § 127673.4 (a) The department shall develop regulations on data quality and improvement processes and shall make these processes publicly available. (b) Data quality…
- § 127673.5 (a) (1) The purpose of the system is to learn about and seek to improve public health, population health, social determinants of health, and the health care…
- § 127673.6 The department shall develop an information security program that uses existing state standards and complies with applicable state and federal laws.
- § 127673.7 The department shall include in an annual analysis, such as, but not limited to, the following: (a) Population and regional level data on prevention,…
- § 127673.8 (a) The department shall use the program data to produce publicly available information, including data products, summaries, analyses, studies, and other…
- § 127673.81 (a) (1) All personal consumer information obtained or maintained by the program shall be confidential. (2) Only deidentified aggregate patient or other…
- § 127673.82 (a) The department shall develop a comprehensive program for data use, access, and release that includes data use agreements that require data users to comply…
- § 127673.83 (a) In accessing or obtaining nonpublic data through the secure environment, users shall only have access to the minimum amount of potentially identifiable…
- § 127673.84 (a) The department shall establish a data release committee with a membership of at least 7 and no more than 11 members appointed by the director.…
- § 127674 (a) The department shall expend the General Fund moneys appropriated in the 2018–19 Budget Act (Chapter 23 of the Statutes of 2019) for the purposes of this…
- § 127674.1 The department shall notify the Department of Managed Health Care or the Department of Insurance, as appropriate, if a health care service plan or health…