Senate File 213 S-3018 Amend Senate File 213 as follows: 1 1. By striking everything after the enacting clause 2 and inserting: 3 < Section 1. PUBLIC EMPLOYEE HEALTH INSURANCE REFORM 4 STUDY COMMITTEE. 5 1. For purposes of this section, “public employee” 6 means an employee of the state, including an employee 7 of the state board of regents and institutions 8 governed by the state board; a county; a city; a school 9 district, an area education agency, or a community 10 college; or any other political subdivision. 11 2. The insurance division of the department of 12 commerce shall establish a public employee health 13 insurance reform study committee. The study committee 14 shall conduct a study to review the availability of 15 affordable, quality health insurance coverage for 16 public employees, the establishment of continuity of 17 coverage for public employers and their employees, 18 methods to improve the efficiency and fairness of the 19 health insurance marketplace for public employers and 20 their employees, relevant insurance ratings practices, 21 and related matters. The study shall include a 22 comparison of health insurance coverage that is offered 23 by the various public employers in this state and by 24 private sector employers. The study committee shall 25 examine the feasibility of the following: 26 a. Establishing basic or standard health benefit 27 plans with benefit levels, cost-sharing levels, 28 exclusions, and limitations available to all public 29 employers and their employees. 30 b. Establishing uniform coverage plans with benefit 31 coverages that may be added to the basic or standard 32 plans, at the option of a public employer. 33 c. Establishing restrictions on premium rates and 34 rate increases. 35 -1- SF213.357 (3) 87 je/rj 1/ 3 #1.
d. Establishing a public employer health 1 reinsurance program. 2 e. Establishing a premium rating system based on 3 the statewide health status, claims experience, and 4 other demographic characteristics of public employees. 5 3. The study committee’s feasibility examination 6 shall include actuarial analysis as appropriate. 7 The actuary conducting the analysis shall examine 8 past experience and claim history and project future 9 experience, claims, and rates for multiple scenarios as 10 requested by the study committee. 11 4. The commissioner of insurance shall select 12 the members of the public employee health insurance 13 reform study committee which shall include all of the 14 following: 15 a. A representative of the state. 16 b. A representative of the state board of regents. 17 c. A representative of a county. 18 d. A representative of a city. 19 e. A representative of a school district. 20 f. A representative of the largest statewide 21 employee organization representing state employees. 22 g. A representative of the largest employee 23 organization that represents school district employees. 24 h. A representative of an employee organization 25 representing police officers. 26 i. A representative of an employee organization 27 representing fire fighters. 28 j. A representative of a health insurance carrier. 29 k. A representative of a health insurance provider. 30 l. Such other representatives who, in the opinion 31 of the commissioner, have expertise that would assist 32 the study committee in accomplishing its purpose. 33 5. The commissioner shall submit a report to 34 the general assembly on or before January 16, 35 -2- SF213.357 (3) 87 je/rj 2/ 3
2018, regarding the study committee’s findings and 1 recommendations, including proposed legislation, 2 concerning health insurance coverage for public 3 employers and their employees. > 4 2. Title page, by striking lines 2 through 7 and 5 inserting < employees by providing for the establishment 6 of a public employee health insurance reform study 7 committee by the insurance division of the department 8 of commerce. > 9 ______________________________ NATE BOULTON -3- SF213.357 (3) 87 je/rj 3/ 3 #2.