The bill amends the Healthcare Contracting Simplification Act to update the definition of "healthcare insurer" and clarify prohibitions related to healthcare contracts. The definition now includes entities that "provide or administer" health insurance and expands the list of included entities to encompass third-party administrators acting on behalf of self-insured health benefit plans. Additionally, the bill prohibits contracting entities from requiring healthcare providers to accept multiple health benefit plans with differing reimbursement rates and reinforces the prohibition against leasing or selling healthcare contracts or provider networks.

Furthermore, the bill introduces a new section that explicitly states that the provisions of this subchapter cannot be waived by contract, rendering any conflicting contractual arrangements void. This aims to strengthen the protections for healthcare providers and ensure compliance with the established regulations. Overall, the amendments seek to enhance clarity and fairness in healthcare contracting practices within the state.

Statutes affected:
Old version HB1426 Original - 2-6-2025 11:09 AM: 23-99-1202(7), 23-99-1203(a), 23-99-1210, 23-66-206, 23-66-201
Old version HB1426 V2 - 2-10-2025 11:08 AM: 23-99-1202(7), 23-99-1203(a), 23-99-1210, 23-66-206, 23-66-201, 02-10-2025
HB 1426: 23-99-1202(7), 23-99-1203(a), 23-99-1210, 23-66-206, 23-66-201