Bill > S08029

This bill prohibits insurance companies and health maintenance organizations (HMOs) from including certain requirements in their contracts with healthcare providers. Specifically, it bars insurers and HMOs from: (1) requiring them to include all members of a provider group in their network; (2) placing all members of a provider group in the same network tier; (3) requiring them to include all members of a provider group in all of their products; (4) prohibiting them from using benefit designs to encourage members to seek services from higher-value providers; (5) including most-favored-nation provisions; and (6) limiting the ability of insurers or providers to disclose fees or allowed amounts to insureds or their providers. The bill states that any contract, policy, or agreement containing these prohibited provisions will be null and void after January 1, 2023, though the remaining contract terms will remain in effect.