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SB 189

BillStateINSenate
Nonparticipating providers.
About This Bill
Latest Action · Mar 5, 2026
Signed by the Governor
Session
2026
Introduced
Jan 6, 2026
Primary Sponsor
Scott Baldwin· author

Summary

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Requires an initiating party that submits a request for independent dispute resolution to provide written notice to the facility not later than three business days after submitting the request. Allows a health carrier to provide notice to an out of network provider and a facility if, during any 90 day period, an initiating party submits requests for independent dispute resolutions that, in the aggregate, include 25 or more qualified disputes. Provides that if a health carrier provides the notice, the health carrier, the out of network provider, and the facility shall engage in good faith efforts to negotiate a resolution. Prohibits a health carrier from assessing a facility or a provider an administrative fee or penalty related to the provision of care to an individual that involves an out of network provider. Provides that if a health carrier assesses a facility or a provider an administrative fee or penalty related to the provision of care to an individual that involves an out of network provider, the health carrier commits an unfair and deceptive act or practice in the business of insurance.

Subjects

AGENCIES; Department of Insurance (IDOI)CIVIL LAW AND PROCEDURE; Liabilities, Damages, and PenaltiesHEALTH CARE FACILITIES; GenerallyHEALTH; Billing and CostsINSURANCE; Health Insurance

Co-sponsors (9)

Chris Garten · author
Tyler Johnson · author
Lonnie Randolph · coauthor
Eric Koch · coauthor
Liz Brown · coauthor
Brad Barrett · sponsor
Martin Carbaugh · cosponsor
Craig Snow · cosponsor
Chris Campbell · cosponsor

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