This bill introduces regulations governing public communications related to contract terminations between health carriers, facilities, and providers. It stipulates that neither health care providers nor carriers may publicly disclose information about contract expirations or terminations until 45 days before the termination date, with exceptions for disclosures mandated by law. The bill clarifies that communications with state officials are not considered public statements and does not require carriers or providers to inform enrollees of potential terminations unless legally obligated. Additionally, it mandates the creation of standard template language for enrollee notices by December 1, 2025, and requires these provisions to be included in all provider contracts by January 1, 2027.
Moreover, the bill amends existing laws to enhance oversight and enforcement against birthing centers and private establishments that do not comply with health and safety standards. It allows for the imposition of a "limited stop service" or "stop placement" when immediate jeopardy is identified, preventing facilities from admitting new patients or providing certain services until compliance is confirmed. The Department is tasked with conducting follow-up inspections within five business days and notifying facilities of deficiencies, giving them 24 hours to create a corrective plan. The bill also outlines the conditions under which licenses may be denied, suspended, or revoked, and establishes the right to an adjudicative proceeding for licensees facing adverse actions, ensuring accountability and patient safety in health care facilities.
Statutes affected: Bill as Passed Legislature: 18.130.180, 70.41.510, 70.42.162, 70.230.210, 18.46.050, 70.127.170, 71.24.910, 71.12.710
Session Law: 18.130.180, 70.41.510, 70.42.162, 70.230.210, 18.46.050, 70.127.170, 71.24.910, 71.12.710