Preserves the ability of health care providers to access the independent dispute resolution process
This bill (S 4123) ensures healthcare providers can continue using independent dispute resolution (IDR) to challenge payment rates from insurers. It directly affects doctors, hospitals, and other healthcare providers who are not contracted ("non-participating") with health insurance plans. The bill amends criteria that IDR entities must use when setting fair payment rates, requiring them to consider factors like provider qualifications, usual charges for similar services, regional rates for non-participating providers, and service complexity. These changes clarify how disputes over payment rates will be resolved, maintaining access to the IDR process.
Bill status
in committee
1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 3, 2025
Last action Jan 7, 2026
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
2
Key actions
0
Committee
2
Jan 7, 2026
Committee
REFERRED TO INSURANCE
upper
Feb 3, 2025
Committee
REFERRED TO INSURANCE
upper
1 primary · 9 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Robert Jackson
DDemocratic/Working Families
Co
Cordell Cleare
DDemocratic
Co
Joe Addabbo
DDemocratic
Co
Leroy Comrie
DDemocratic
Co
Luis Sepúlveda
DDemocratic
Co
Mario Mattera
RRepublican/Conservative
Co
Monica Martinez
DDemocratic/Working Families
Co
NF
Nathalia Fernández
DDemocratic
Co
Pete Harckham
DDemocratic/Working Families
Co
Tony Palumbo
RRepublican
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