The bill amends the Medicaid Provider-Led Organized Care Act to clarify the marketing practices of providers within risk-based provider organizations. It introduces a new section, 20-77-2709, which establishes the legislative intent to ensure that potential and actual enrollees are informed about whether a direct service provider is in-network with a specific risk-based provider organization and the implications of choosing a provider that is not participating in the network. The bill specifies that it is not a marketing violation for providers to communicate their network status to enrollees and outlines the conditions under which providers can discuss their network status without facing restrictions.

Additionally, the bill mandates that direct service providers comply with federal managed care marketing rules and requires the Department of Human Services to revise marketing regulations accordingly. An emergency clause is included, stating that the confusion surrounding provider communications negatively impacts Medicaid beneficiaries' ability to make informed decisions about their care, necessitating immediate action for the preservation of public health and safety. The act will take effect upon approval by the Governor or under specified conditions if not acted upon.