Sunset Primary Care Payment Reform Collaborative

In 2019, the division of insurance within the department of regulatory agencies (department) established the primary care payment reform collaborative (collaborative) to, among other things, advise in the development of affordability standards and targets for insurance carrier investments in primary care, identify barriers to the adoption of alternative payment models by health-care providers and insurers, and develop recommendations to address barriers.

The act implements the recommendations of the department's sunset review and report by:

• Continuing the collaborative for 7 years, until September 1, 2032; and
• Scheduling the next sunset review of the collaborative to be conducted pursuant to the sunset review structure for advisory committees.

In addition, the act clarifies that the collaborative is required to ensure the development and consideration of alternative payment models that are responsive to the needs of primary care delivery in pediatrics and that the commissioner of insurance is required to invite pediatric primary care providers to participate in the collaborative.

(Note: This summary applies to this bill as enacted.)