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Legislative Year: 2023 Change
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Bill Detail: HB23-1116

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Title Contracts Between Carriers And Providers
Status House Third Reading Passed - No Amendments (02/03/2023)
Bill Subjects
  • Health Care & Health Insurance
  • Insurance
House Sponsors L. Daugherty (D)
A. Hartsook (R)
Senate Sponsors R. Rodriguez (D)
M. Baisley (R)
House Committee Health and Insurance
Senate Committee
Date Introduced 01/23/2023
Summary

The bill:
  • Requires a contract between a health insurance carrier
(carrier) and a licensed health-care provider (provider) for
the provision of health-care services to covered persons
under a health coverage plan issued by the carrier (contract)
to offer at least one method of payment to the provider for
which there is not an associated fee; and
  • Prohibits the contract from restricting the form or method
of payment the carrier uses to make payments to the
provider so that the only acceptable payment method is a
credit card payment.
If a carrier initiates a payment to a provider using, or changes the
payment method to, electronic funds transfer payments, including virtual
credit card payments, the bill requires the carrier to:
  • Notify the provider of any fees associated with the
particular payment method;
  • Advise the provider of the available payment methods and
include instructions on how to select an alternative
available method; and
  • With each payment, remit an explanation of benefits.
The bill prohibits a carrier from charging a fee for a change in the
payment method to a specified electronic transaction and allows a
provider's billing service to charge a fee under certain circumstances.
The bill makes it an unfair method of competition and unfair or
deceptive act or practice in the business of insurance if a carrier violates
or fails to comply with the requirements of the contract limitations and
requirements.

Committee Reports
with Amendments
Full Text
Full Text of Bill (pdf) (most recent)
Fiscal Notes Fiscal Notes (01/27/2023) (most recent)  
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