A BILL TO BE ENTITLED
AN ACT TO DIRECT THE STATE HEALTH PLAN TO NEGOTIATE WITH ITS CLAIMS PROCESSING CONTRACTOR TO INCLUDE UNC INFIRMARIES IN THE CLAIMS PROCESSING CONTRACTOR'S PROVIDER NETWORK.
The General Assembly of North Carolina enacts:
SECTION 1.  G.S. 135‑45(d) reads as rewritten:
"(d)	The Plan benefits shall be provided under contracts between the Plan and the claims processors selected by the Plan. The Executive Administrator may contract with a pharmacy benefits manager to administer pharmacy benefits under the Plan. Such contracts shall include the applicable provisions of G.S. 135‑45.1 through G.S. 135‑45.15 and the description of the Plan in the request for proposal, and shall be administered by the respective claims processor or Pharmacy Benefits Manager, which will determine benefits and other questions arising thereunder. The contracts necessarily will conform to applicable State law. If any of the provisions of G.S. 135‑45.1 through G.S. 135‑45.15 and the request for proposals must be modified for inclusion in the contract because of State law, such modification shall be made. If the Plan uses a network of providers that is under contract with the Plan's claims processing contractor, the Executive Administrator may negotiate with the claims processing contractor to include certain providers in the claims processing contractor's network."
SECTION 2.  The Executive Administrator of the State Health Plan for Teachers and State Employees shall negotiate with its claims processing contractor to include UNC infirmaries in the claims processing contractor's provider network.
SECTION 3.  This act is effective when it becomes law.