Provider Participation in Health Insurance
Summary
If a mental health provider, substance use disorder provider, or psychiatric nurse (provider) has not submitted a claim for a period of at least 12 months, the act requires a commercial insurance carrier (carrier) to contact the provider to confirm the provider's participation in the carrier's provider network and to determine whether the provider is accepting new patients. The act includes mental health providers, substance use disorder providers, and psychiatric nurses as providers who may participate in a carrier's provider network. The act requires carriers to admit prelicensed providers into the carrier's network and to reimburse prelicensed providers for services rendered when provided under the supervision of a mental health provider, substance use disorder provider, or psychiatric nurse. The act requires a clinical social worker to complete 3,000 hours of practice prior to licensure.(Note: This summary applies to this bill as enacted.)
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
House Passage
Apr 2026
Senate Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Jan 14, 2026
Signed Apr 27, 2026
Maddy AI version diff · 5 comparisons
What changed between versions
Rerevised
→
Final Act
·
4 edits
·
Apr 13, 2026
MODERATE
The bill was finalized with minor formatting adjustments to the sponsor list and title, while retaining the core policy to improve access to behavioral health care. The final version clarifies that carriers must contact providers who haven't submitted claims in 12 months to verify their status, and it formally adds 'Mental Health Providers' and 'Substance Use Disorder Providers' to the list of professionals subject to these network adequacy rules.
Scope change
The scope of the network adequacy requirements was expanded to explicitly include Mental Health Providers and Substance Use Disorder Providers, whereas the initial draft primarily focused on Psychiatrists and Psychiatric Nurses.
DEFINITION
Added specific definitions for 'Mental Health Provider' and 'Substance Use Disorder Provider' to the list of professionals covered by the bill's credentialing and network requirements.
REQUIREMENT
Refined the requirement for insurance carriers to contact providers who have not submitted claims in the preceding twelve months to confirm their intent to continue participating in the network.
TECHNICAL
Added a note indicating the bill is prepared for signatures and updated the sponsor list formatting to include all co-sponsors.
Adjusted the bill title to reflect the full scope of measures, including efforts to enhance provider participation in health-care provider networks.
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
14
Key actions
7
Committee
3
Apr 27, 2026
Signed into law
Governor Signed
executive
Apr 16, 2026
Upper · Passed
Signed by the President of the Senate
upper
Apr 16, 2026
Lower · Passed
Signed by the Speaker of the House
lower
Apr 1, 2026
Upper · Passed
Senate Third Reading Passed - No Amendments
upper
Mar 26, 2026
Upper · Passed
Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole
upper
Mar 10, 2026
Introduced
Introduced In Senate - Assigned to Health & Human Services
upper
Mar 5, 2026
Lower · Passed
House Third Reading Passed - No Amendments
lower
Feb 27, 2026
Lower · Passed
House Committee on Appropriations Refer Unamended to House Committee of the Whole
lower
Feb 10, 2026
Committee
House Committee on Health & Human Services Refer Amended to Appropriations
lower
Jan 14, 2026
Introduced
Introduced In House - Assigned to Health & Human Services
lower
4 primary · 34 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Byron Pelton
RRepublican
P
Kyle Brown
DDemocratic
P
Lindsay Gilchrist
DDemocratic
P
Matt Ball
DDemocratic
Co
Adrienne Benavidez
DDemocratic
Co
Andy Boesenecker
DDemocratic
Co
Brianna Titone
DDemocratic
Co
Cathy Kipp
DDemocratic
Co
Chad Clifford
DDemocratic
Co
Dylan Roberts
DDemocratic
Co
Eliza Hamrick
DDemocratic
Co
Emily Sirota
DDemocratic
Co
Gretchen Rydin
DDemocratic
Co
Iman Jodeh
DDemocratic
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