Relating to prohibited conduct of a health benefit plan issuer in relation to affiliated and nonaffiliated providers.
HB 3943 prohibits health benefit plan issuers from offering higher reimbursement rates to nonaffiliated providers who join an affiliated network, and from paying affiliated providers more than nonaffiliated providers for the same service. It applies to most health plans covering medical/surgical expenses (like individual/group insurance, HMOs, and health exchanges), but excludes Medicaid, child health plans, and workers' compensation. The bill defines "affiliated providers" as those controlled by or under common control with a health plan issuer, and "nonaffiliated providers" as those without such ties. This aims to prevent issuers from using financial incentives to steer patients toward affiliated providers.
Bill status
in committee
1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 27, 2025
Last action Mar 27, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
3
Key actions
0
Committee
1
Mar 27, 2025
Committee
Referred to Insurance
lower
Mar 27, 2025
Introduced
Read first time
lower
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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