Bill > S06973

This bill prohibits insurers and health maintenance organizations (HMOs) from including certain requirements in their insurance contracts with healthcare providers. Specifically, it prohibits insurers and HMOs from requiring that they include all members of a provider group in their network, place all members of a provider group in the same network tier, include all members of a provider group in all of their products, prohibit the use of benefit designs to encourage members to seek services from higher-value providers, contain most-favored-nation provisions, or limit the disclosure of fees or allowed amounts to insureds or providers. Any contracts containing these prohibited provisions will be null and void after January 1, 2024, though the remaining clauses of the contract will remain in effect.