The proposed bill would amend current statutes related to health insurance and surprise billing by specifying that the requirements for providing notice to enrollees about their right to dispute surprise out-of-network medical bills only apply to claims that are not subject to independent dispute resolution (IDR) under the federal No Surprises Act (NSA). Specifically, it would insert language clarifying that health insurers must include this notice in each explanation of benefits or similar claim adjudication notice issued to enrollees, but only for those claims that fall outside the IDR process.

Additionally, the bill would require that if an enrollee contacts a health care provider or billing company regarding a dispute over a surprise out-of-network bill, the provider or billing company must provide written notice of the dispute resolution process, but again, only for disputes not subject to IDR under the NSA. This change aims to streamline the dispute resolution process and ensure that enrollees are informed of their rights in a more targeted manner.

Statutes affected:
Introduced Version: 20-3117
Senate Engrossed Version: 20-3117
Chaptered Version: 20-3117