HB 23-1116 CO Became Law
Contracts Between Carriers And Providers
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Summary
With regard to a contract between a health insurance carrier (carrier) and a licensed health-care provider (provider) for the provision of health-care services to covered persons under a health coverage plan issued by the carrier (contract), the act: Requires the carrier to offer at least one method of payment to the provider for which there is not an associated fee; and Prohibits the carrier from restricting the form or method of payment the carrier uses to make payments to the provider so that the only acceptable payment method is a credit card payment. If a carrier initiates a payment to a provider using, or changes the payment method to, electronic funds transfer payments, including virtual credit card payments, the act requires the carrier to: Notify the provider of any fees associated with the particular payment method; Advise the provider of the available payment methods and include instructions on how to select an alternative available method; and With each payment, remit an explanation of benefits. The act prohibits a carrier from charging a fee for a change in the payment method to a specified electronic transaction and allows a provider's billing service to charge a fee under certain circumstances. The act grants enforcement authority to the commissioner of insurance. APPROVED by Governor April 10, 2023 EFFECTIVE August 7, 2023 NOTE: This act was passed without a safety clause and takes effect 90 days after sine die. (Note: This summary applies to this bill as enacted.)
Sponsors (4)
- Anthony Hartsook Republican · primary
- Lindsey Daugherty Democratic · primary
- Robert Rodriguez Democratic · primary
- Mark Baisley Republican · primary
Action history (14)
- Apr 10, 2023 Governor Signed · executive
- Apr 3, 2023 Sent to the Governor · executive
- Apr 3, 2023 Signed by the President of the Senate · upper
- Mar 31, 2023 Signed by the Speaker of the House · lower
- Mar 14, 2023 House Considered Senate Amendments - Result was to Concur - Repass · lower
- Mar 13, 2023 Senate Third Reading Passed - No Amendments · upper
- Mar 10, 2023 Senate Second Reading Special Order - Passed with Amendments - Committee · upper
- Mar 10, 2023 Senate Committee on Appropriations Refer Amended - Consent Calendar to Senate Committee of the Whole · upper
- Mar 2, 2023 Senate Committee on Business, Labor, & Technology Refer Unamended to Appropriations · upper
- Feb 6, 2023 Introduced In Senate - Assigned to Business, Labor, & Technology · upper
- Feb 3, 2023 House Third Reading Passed - No Amendments · lower
- Feb 2, 2023 House Second Reading Special Order - Passed with Amendments - Committee · lower
- Jan 31, 2023 House Committee on Health & Insurance Refer Amended to House Committee of the Whole · lower
- Jan 23, 2023 Introduced In House - Assigned to Health & Insurance · lower
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