The bill aims to prohibit health carriers from imposing administrative fees or penalties on health care providers for services rendered to patients by out-of-network providers. This new regulation is intended to protect providers from financial repercussions when they deliver care that involves non-participating providers.
Additionally, the bill defines an "out-of-network provider" as any provider who does not participate in the health carrier's network. This clarification ensures that the scope of the prohibition is clearly understood, thereby safeguarding providers from unexpected costs associated with out-of-network care.