An Act amending Title 40 (Insurance) of the Pennsylvania Consolidated Statutes, in regulation of insurers and related persons generally, providing for nondiscrimination by payers in health care benefit plans.

HB 2212 requires Pennsylvania health insurance companies and other health care payers (including health maintenance organizations and self-insured employers) to reimburse out-of-network medical facilities that meet specific criteria, such as having a four-star patient satisfaction rating, offering faster service than nearby in-network facilities, or being partially owned by physicians who are in-network with the payer. The bill mandates that payers use a "baseball-style arbitration" process for payment disputes, where an independent third party selects either the payer's or facility's proposed payment amount without modification. It defines key terms like "highest in-network rate" to standardize how payers determine fair reimbursement for services. This law directly affects health care benefit plans regulated under Pennsylvania insurance law, aiming to reduce discrimination against qualifying out-of-network providers.