Modernizing the all payers claim database.
What changed between versions
Added detailed security mandates requiring state-of-the-art encryption, strict access controls, and compliance with federal HIPAA regulations for data vendors.
Mandated that the lead organization must be selected via a competitive procurement process with strict conflict-of-interest rules for state officials involved in the bidding.
Removed a previous restriction prohibiting federal, state, and local government agencies from using database data to purchase health benefits for their employees.
Expanded the list of entities allowed to access data to include specific providers, hospitals, and carriers for benchmarking and quality improvement, while removing a restriction on government agencies using data for employee benefits.
Authorized the lead organization to charge fees for data reports and files to ensure the database's financial sustainability, subject to authority approval.
Set an expiration date of July 1, 2026, for the current database structure, requiring a review of state and federal pricing transparency programs by December 31, 2025.
Explicitly defined the roles and responsibilities of the lead organization versus the data vendor, including internal governance and data collection duties.