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 each explanation of benefits or similar claim adjudication notice only for those 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 dispute over a surprise out-of-network bill, the provider must inform the enrollee of the dispute resolution process, but only if the claim is not subject to IDR under the NSA. This change aims to streamline the dispute resolution process and ensure that enrollees are aware of their rights in situations that fall outside the scope of the NSA.

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