Bill > SB337

This bill enacts the Surprise Billing Protection Act, which aims to protect covered persons from unexpected bills from healthcare providers that do not participate in the covered person's health benefits plan. The key provisions include: - Requiring health insurance carriers to reimburse non-participating providers for emergency care and prohibiting carriers from requiring prior authorization for such care. Carriers can only impose cost-sharing for non-participating emergency care up to the same amount as for participating providers. - Requiring health insurance carriers to provide reimbursement for and prohibiting covered persons from being liable for charges from non-participating providers at in-network facilities when the covered person did not have the ability to choose a participating provider or when medically necessary care was unavailable within the network. - Prohibiting non-participating providers from knowingly submitting "surprise bills" that exceed the covered person's in-network cost-sharing obligations, and establishing a process for covered persons to appeal such bills. - Requiring healthcare facilities to provide transparency about providers' network status and patients' rights under the law. - Establishing rules for reimbursement rates paid to non-participating providers for services covered under the Act. The bill also prohibits providers from knowingly submitting surprise bills as an unfair practice, and provides a delayed repeal of the reimbursement rate provisions.

Health and Social Services, Transportation and Infrastructure

https://www.nmlegis.gov/lcs/legislation.aspx?chamber=S&legtype=B&legno=337&year=19