The proposed bill, if enacted, would amend current statutes related to health insurance and surprise billing by clarifying that the requirements for providing notice to enrollees about their right to dispute surprise out-of-network medical bills apply only to claims that are not subject to independent dispute resolution (IDR) under the federal No Surprises Act (NSA). Specifically, it would insert language stating that health insurers must include this notice in explanations of benefits only for claims not covered by the IDR process.

Additionally, the bill would require that when an enrollee contacts a health care provider or billing company regarding a surprise out-of-network bill, the provider must provide written notice of the dispute resolution process, but again, only for claims 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