Talk:Sensible Claims Act (663)

Braughn F. G. Kryos OP

— 12/30/2023 9:59 AM

Tabled by Braughn F. G. Kryos, MGA, as an independent member's bill. An act to ensure the medical independence of doctors by requiring medical insurance companies to cover medically necessary procedures, tests, medications, and examinations. https://kodiak.wiki/wiki/Sensible_Claims_Act_(663) Voting is set for 6 January. The Kodiak Republic Wiki Sensible Claims Act (663) ACTION by the General Assembly on ## MONTH ###. ## AYE, ## NAY, ## ABSTAIN An act to ensure the medical independence of doctors by requiring medical insurance companies to cover medically necessary procedures, tests, medications, and examinations. Braughn F. G. Kryos

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— 12/30/2023 9:59 AM

Braughn F. G. Kryos OP

— 12/30/2023 9:59 AM

@Assembly Member, debate is now open for this bill. Faralana (Joe Fala, DPPK) — 12/30/2023 11:09 AM I have a few questions about this bill. One of my conserns is the fact that there is a pervision here that states medical insurances must cover 60% of medical bills.

But hospitals today set arborary prices based off of a Charge Master which is locked behind closed doors and the public can not see it. If a citizen doesn't have insurgence, they could easly be paying $300 for an empty blood bag. But with insurances, hospitals charge $7.00. Insurence already pays the actualy price and there is nothing in the bill to prevent hospitals from raising their prices. If this bill passes, the cost for someone to pay the actual price for that bag of $7.00, the hospital could raise the price by multiplying the $7.00 by 1.4 to get $11.67

There is nothing in this bill that would stop hospitals for charging too much. I beleive we need to add price caps By adding price caps, we can overall lower the cost of healthcare for everyone I would also support requiring hospitals to publicise there charge masters Dr Edmund Cosmo Maltravers Jr — 12/30/2023 11:11 AM Mr President, I have no real issues with this bill, I think this is a great step for all of the Medical Practice Community. Therefore it has my full support. Braughn F. G. Kryos OP

— 12/30/2023 11:26 AM

But hospitals today set arborary prices based off of a Charge Master which is locked behind closed doors and the public can not see it This is why I ensured that hospitals are required to be transparent about all costs charged: https://kodiak.wiki/wiki/Hospital_Transparency_Act_(660) The Kodiak Republic Wiki Hospital Transparency Act (660) Passed by the General Assembly on 10 November 661 - 11 Aye, 7 Nay, 3 Abstain. An act to increase consumer information, encourage price competition and reduced rates, and combat chargemaster abuse for all Kodiaker hospitals and healthcare offices. There are no hard price caps, but if you believed that they would be necessary, then I encourage you to consider proposing legislation to enact them, at least for a number of the most common procedures. Should this bill pass, it would further encourage hospitals, which often collude with insurance companies, to lower their prices to a more reasonable level. Braughn F. G. Kryos OP

— 01/02/2024 7:03 PM

@Assembly Member, drawing your attention once again to this debate. Daniel Evanston Anderson — 01/03/2024 12:55 AM Full support Everett747100 — 01/03/2024 4:53 AM The thing is we are doing exactly what the irl Congress did by regulating Healthcare to be cheaper. This won’t work Medical Providers will find loop holes and charge the shit out of people. Either only have regulations for safety or nationalize Healthcare Braughn F. G. Kryos OP

— 01/03/2024 6:51 AM

What loopholes would you imagine occurring? ((As far as I am aware, this legislation is far stiffer than any the US Congress would have the gall to suggest)) Everett747100 — 01/03/2024 8:15 AM ((that is true but still)) I haven’t had time to read the bill but I will today Braughn F. G. Kryos OP

— 01/03/2024 10:26 AM

Well, that’s probably is the issue. I would suggest reading the bills before commenting on them. Josef Kovac — 01/03/2024 10:29 AM Can you define "critical care" Without a definition there, providers could refuse the full 80% by claiming it was non-critical. Braughn F. G. Kryos OP

— 01/03/2024 10:35 AM

Indeed, I can. Does the Member have a suggestion for a definition? Josef Kovac — 01/03/2024 10:41 AM "Critical care is defined as treatment given to a patient to mitigate the effects of an immediate and significant threat to the patient's survival." Braughn F. G. Kryos OP

— 01/03/2024 10:44 AM

Thank you, Mr. Kovac. I will amend the bill shortly. Josef Kovac — 01/05/2024 4:47 PM Something that could be considered is giving the Board the ability to levy fines on insurance companies. Help cover some of the costs and help ensure compliance. Braughn F. G. Kryos OP

— 01/05/2024 4:47 PM

nods That could be arranged. Braughn F. G. Kryos OP

— 01/05/2024 5:36 PM

And so it has. "3.3 The Board of Medical INsurance shall be empowered to levy fines against insurance companies for non-compliance with or violation of any of the statues within this act, any act enforcing requirements on insurance companies, or any regluations passed by the Board of Medical Insurance." EasyPoll BOT

— 01/06/2024 2:04 PM

Question Does the General Assembly approve the Sensible Claims Act (663)?

Choices 🇦 Aye 🇧 Nay 🇨 Abstain

Final Result 🇦 ▓▓▓▓▓▓▓▓▓░ [13 • 87%] 🇧 ▓░░░░░░░░░ [2 • 13%] 🇨 ░░░░░░░░░░ [0 • 0%] 15 users voted

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alarm_clock: Poll already ended (a day ago)

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Allowed roles: @Assembly Member Poll ID: 5d5c2a0a Braughn F. G. Kryos OP

— 01/06/2024 2:04 PM

@Assembly Member, voting for this bill is now open and will remain open for 72 hours. Braughn F. G. Kryos OP

— Today at 12:14 PM

With 13 ayes, 2 nays, and 0 abstains, the Sensible Claims Act (663) is passed by the General Assembly. This debate will be archived shortly.