Health care shopping and decision support program.
About This Bill
Latest Action · Jan 29, 2026
First reading: referred to Committee on Insurance
Session
2026
Introduced
Jan 8, 2026
Primary Sponsor
Ed Charbonneau· author
Summary
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Requires, beginning January 1, 2028, a health carrier to: (1) implement a shopping and decision support program; and (2) provide incentives for covered individuals in a health plan who elect to receive a comparable health care service from a network provider that is paid less than the average allowed amount paid by the health carrier to network providers for the comparable health care service. Requires, beginning December 1, 2027, a health carrier to make available an interactive member portal that enables a covered individual to request and obtain certain information. Allows a health carrier to make the information available through a toll free telephone number. Sets forth reporting requirements for health carriers and the department of insurance concerning incentive payments made to covered individuals.
Subjects
AGENCIES; Department of Insurance (IDOI)HEALTH; Billing and CostsINSURANCE; Health InsuranceTECHNOLOGY; Communication (Including Internet, Phone Lines, Print Media, Radio, and Television)TECHNOLOGY; Generally