Jan 5 -- The Government Accountability Office (GAO) invites nominations for a health economist to serve on the new State All Payer Claims Databases Advisory Committee (SAPCDAC). Nominations are due by January 27, 2021. FR notice: https://www.federalregister.gov/documents/2021/01/05/2020-29055/request-for-state-all-payer-claims-databases-advisory-committee-sapcdac-nominations
The No Surprises Act, enacted as part of the Consolidated Appropriations Act, 2021 requires the Secretary of Labor to convene an Advisory Committee of 15 members to advise on the standardized format for the voluntary reporting, by group health plans to State All Payer Claims Databases, of medical claims, pharmacy claims, dental claims, and eligibility and provider files collected from private and public payers. The Committee shall also advise the Secretary on the guidance provided to States on the process by which States may collect such data in the standardized reporting format. This Committee will be responsible for issuing a report to the Secretary of Labor and certain congressional committees within 180 days of the enactment of the Act, which shall include recommendations on the standardized format and guidance described above.
The Act provides for members of this Committee to have distinguished themselves in fields of health services research, health economics, health informatics, data privacy and security, or the governance of State All Payer Claims Databases, or who represent organizations likely to submit data to or use the database, including patients, employers, employee organizations that sponsor group health plans, health care providers, health insurance issuers, or third-party administrators of group health plans.
The Act gives the Secretary of Labor, in coordination with the Secretary of Health and Human Services, responsibility for appointing 9 of the 15 members to include eight representatives of various agencies within the Departments of Labor and Health and Human Services, as well as one representative of a State All Payer Claims Database. The Act gives the Comptroller General responsibility for appointing the remaining 6 of the committee's 15 members, including 1 representative of an employer that sponsors a group health plan; 1 representative of an employee organization that sponsors a group health plan; 1 academic researcher with expertise in health economics or health services research; 1 consumer advocate; and 2 additional members. GAO is accepting nominations of individuals for Committee appointments that will be effective in March 2021.
No Surprises Act -- see SEC. 115(b) STATE ALL PAYER CLAIMS DATABASES -- STANDARDIZED REPORTING FORMAT pp. 324-328 https://energycommerce.house.gov/sites/democrats.energycommerce.house.gov/files/documents/No%20Surprises%20Act%20FINAL%2012-11-20.pdf
APCD Council: https://www.apcdcouncil.org/
State All-Payer Claims Databases backgrounder https://www.commonwealthfund.org/publications/fund-reports/2020/dec/state-apcds-part-1-establish-make-functional
AHRQ State APCDs webpage: https://www.ahrq.gov/data/apcd/index.html