(a) Each health benefit plan issuer shall submit to the department, at the time and
in the form and manner required by the department, aggregate reimbursement rates by
region paid by the health benefit plan issuer for health care services identified
by the department.
(b) The department shall require that data submitted under this section be submitted
in a standardized format, established by rule, to permit comparison of health care
reimbursement rates. To the extent feasible, the department shall develop the data submission requirements
in a manner that allows collection of reimbursement rates as a dollar amount and not
by comparison to other standard reimbursement rates, such as Medicare reimbursement
(c) The department shall specify the period for which reimbursement rates must be
filed under this section.
(d) The department may contract with a private third party to obtain the data under
this subchapter. If the department contracts with a third party, the department may determine the
aggregate data to be collected and published under Section 38.357 if consistent with the purposes of this subchapter described in Section 38.351. The department shall prohibit the third party contractor from selling, leasing,
or publishing the data obtained by the contractor under this subchapter.
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