relative to health carrier provider contract standards.
What changed between versions
The public hearing requirement changed from mandatory ('shall hold') to discretionary ('may, in the commissioner's discretion, hold'). The commissioner is no longer required to hold a hearing when a contract termination affects 1,000 or more covered persons.
A new provision explicitly states that nothing in the section authorizes the commissioner to require continuation, modification, or renegotiation of a provider contract, and that hearings are informational only and do not constitute approval or disapproval of the termination.
The obligation to provide written notice to affected patients was changed from a joint requirement (health carrier AND provider) to a health carrier-only obligation. The notice must now state whether the commissioner has elected to hold a public hearing rather than confirming one will be scheduled.
A new standardized notice process was created: the commissioner must develop a standard notice form by bulletin, carriers may elect to use it, and those that do not must submit their own proposed notice to the department for review within 14 business days. The department has 7 business days to approve or deny based on specific content criteria (clarity of termination date, patient rights, no influence on negotiations). If denied twice, the carrier must use the standardized form.
The fiscal note changed from estimating $96,000 in FY2027, $132,000 in FY2028, and $139,000 in FY2029 for a new staff position to stating the bill has no fiscal impact on state, county, or local expenditures or revenue.