This bill establishes a formal procedure for the removal of a health care facility from a provider network, requiring both the carrier and the health care facility to provide electronic notice of potential removal to each other and to the Department of Banking and Insurance. The carrier must ensure continued coverage of claims for at least 15 business days following the notice. During this period, both parties are mandated to negotiate in good faith to reach an agreement. Additionally, notice must be issued to all subscribers and patients in the relevant counties, informing them of the negotiations and potential impacts if an agreement is not reached.

If negotiations fail after the 15-day period, a special enrollment period of 30 days will be opened for individuals in small employer or individual health benefits plans residing in the affected counties. During this time, the carrier must cover claims from the health care facility network. If no agreement is reached by the end of the 15-day period, claims will be treated as out-of-network charges, with the insured responsible only for a portion of the claims, while the carrier covers the remaining charges until the next open enrollment period or a new agreement is established.