Bill > HB2106

This bill requires health insurance carriers (health insurers) to provide comprehensive notice to healthcare providers and facilities at least 90 days before making significant contract modifications. The bill defines a "significant payer contract modification" as any change that impacts provider payments, reimbursement methodologies, service delivery requirements, administrative processes, or provider expenses. Carriers must send a detailed notice that specifies the exact contract being modified, provides sufficient information to assess financial impact, includes specific language changes, and is sent to the designated contract representative. The notice must also inform providers that they can accept or reject the modifications without affecting their existing contract. If a carrier fails to comply with these notice requirements, the proposed contract modification becomes void. The legislation aims to promote transparency and fairness in health insurance contracting by ensuring that providers are fully informed about and can meaningfully respond to potential changes in their agreements with insurance carriers. Exceptions to these requirements include changes mandated by law or new payment policies for emerging technologies or services.

Health and Social Services

https://app.leg.wa.gov/billsummary?BillNumber=2106&Year=2025&Initiative=false