An Act strengthening oversight of health care facility spending

HD 3147 requires health care entities (like hospitals, health systems, and clinics) to notify the state commission 60 days before making major changes, such as mergers or expansions. The commission must then annually review whether these changes delivered promised benefits like lower costs or better quality, collecting testimony on impacts to prices, quality, and competition. Entities exceeding state cost growth benchmarks must file a performance improvement plan within 45 days, detailing specific strategies to reduce costs and meet statewide averages within 18 months. This bill directly affects larger health care providers and aims to increase transparency and accountability in how they manage spending.