The bill amends the Healthcare Contracting Simplification Act to update the definition of "healthcare insurer" and clarify prohibitions related to healthcare contracts. Specifically, it expands the definition to include entities that "provide or administer" health insurance and adds third-party administrators acting on behalf of self-insured health benefit plans. Additionally, the bill prohibits contracting entities from enforcing all-products clauses in healthcare contracts and introduces new stipulations regarding the leasing or renting of healthcare contracts or provider networks.
Furthermore, the bill establishes that any contractual arrangements that conflict with the provisions of this subchapter are void and cannot be waived by contract. It also outlines specific conditions under which contracting entities may grant access to their provider networks or healthcare contracts, ensuring that healthcare providers have the opportunity to opt out of such arrangements. Overall, the amendments aim to enhance transparency and protect healthcare providers within the contracting process.
Statutes affected: 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
Old version HB1426 V3 - 4-1-2025 02:28 PM: 23-99-1202(7), 23-99-1203(a), 23-99-1210, 23-66-206, 23-66-201, 04-01-2025
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
HB 1426: 23-99-1202(7), 23-99-1203(a), 23-99-1210, 23-66-206, 23-66-201
Act 569: 23-99-1202(7), 23-99-1203(a), 23-99-1210, 23-66-206, 23-66-201, 04-01-2025