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Bill Detail: HB19-1174

 

Title Out-of-network Health Care Services
Status House Third Reading Passed - No Amendments (03/22/2019)
Bill Subjects
  • Health Care & Health Insurance
  • Insurance
House Sponsors D. Esgar (D)
M. Catlin (R)
Senate Sponsors B. Pettersen (D)
R. Gardner (R)
House Committee Health and Insurance
Senate Committee
Date Introduced 02/07/2019
Description

The bill:
  • Requires health insurance carriers, health care providers,
and health care facilities to provide patients covered by
health benefit plans with information concerning the
provision of services by out-of-network providers and
in-network and out-of-network facilities;

  • Outlines the disclosure requirements and the claims and
payment process for the provision of out-of-network
services;
  • Requires the commissioner of insurance, the state board of
health, and the director of the division of professions and
occupations in the department of regulatory agencies to
promulgate rules that specify the requirements for
disclosures to consumers, including the timing, the format,
and the contents and language in the disclosures;
  • Establishes the reimbursement amount for out-of-network
providers that provide health care services to covered
persons at an in-network facility and for out-of-network
providers or facilities that provide emergency services to
covered persons; and
  • Creates a penalty for failure to comply with the payment
requirements for out-of-network health care services.

Committee Reports
with Amendments
Full Text
Full Text of Bill (pdf) (most recent)
Fiscal Notes Fiscal Notes (03/14/2019) (most recent)  
Additional Bill Documents Bill Documents
Including:
  • Past bill versions
  • Past fiscal notes
  • Committee activity and documents
  • Bill History
 
Lobbyists Lobbyists
Audio  
Votes House and Senate Votes
Vote Totals Vote Totals by Party
 
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