This bill introduces new regulations governing the relationships between health carriers and healthcare providers in Washington State. It mandates that health carriers must provide specific information to providers before entering into or renewing contracts, including the carrier's primary contact for negotiations, a copy of the contract with all changes clearly indicated, and the payment methodology at least 60 days prior to contract execution. Additionally, the bill requires that any updates to contracts and payment policies be communicated in a manner that does not necessitate secure website access. The provisions apply to health plans issued or renewed on or after January 1, 2027, and include exemptions for certain categories of providers.

Furthermore, the bill establishes requirements for notifying providers of significant modifications to payer contracts. Carriers must provide at least 90 days' notice before such modifications take effect, detailing the changes and their potential financial impact. A summary of these modifications must also be made available on the carrier's website and in newsletters. The bill clarifies the definition of "significant payer contract modification" and specifies that it does not include changes mandated by law or those related to new technologies. The insurance commissioner is granted the authority to adopt necessary rules for implementing these provisions.

Statutes affected:
Original Bill: 48.49.135
Substitute Bill: 48.49.135
Second Substitute: 48.49.135