House Bill No.7427
This act would prohibit health insurance companies or other payors from including in their physician participation agreements any provisions that restrict or prevent a physician practice from charging patients reasonable administrative or operational fees to support practice overhead.
House Bill No. 8325
This act would allow primary care practices to offer optional fees for non-covered services while requiring equal medical care for all patients and protecting access to medically necessary services regardless of ability to pay.
House Bill No. 8327
This act would prohibit payers from requiring uncompensated referral coordination by primary care providers, require either elimination of referral prior authorizations, and prevent denial of lab coverage based solely on diagnostic coding differences.
House Bill No. 8308
This act would enact the primary care contracting good faith act. It would require every commercial insurer, managed care organization, and Medicare advantage plan to negotiate in good faith with any primary care physician practice at least once every twenty-four (24) months. Negotiations would explicitly consider increases in operating costs, inflation, staff wages, malpractice premiums, and other overhead factors.
House Bill No. 8309
This act would require that every insurer providing health coverage insurance provide every physician or physician group with a complete fee schedule listing the maximum allowable reimbursement for each covered service.
House Bill No. 8310
This act would amend the timelines related to healthcare provider credentialing.