Bill > S2536

This bill requires healthcare providers who are part of a health insurance carrier's network, and who refer patients to other providers under a managed care plan that covers both in-network and out-of-network services, to provide patients with a written notice whenever the referral is to an out-of-network provider. This notice must explain the patient's potential financial responsibility for out-of-network services, including deductibles, copayments, and coinsurance, and compare it to their responsibility for in-network services. Additionally, the notice must include a list of available in-network providers in the local area who offer the same services as the out-of-network provider being recommended. This law aims to ensure patients are fully informed about their choices and potential costs when referred to out-of-network care.