WeVote
Log In

Bill

Bill

SF 1107

Health care providers certain health care provider reimbursement arrangements disclosure to enrollees and health care providers requirement provision, Ombudsperson for public managed health care programs duties modifications, and health carrier liability when a health care provider is limited in providing services by the health carrier

2025-2026 Regular Session Introduced by Glenn Gruenhagen

Summary of SF 1107: Health Care Provider Reimbursement Disclosure and Liability OverviewBill Number: SF 1107 Title: Health care providers certain health care provider reimbursemen

Referred to Health and Human Services
#commerceandcommercedepartment #healthandhealthdepartment #insurance-health #liability
0
WeVote Research Nonpartisan
Bill Summary · SF 1107

Summary of SF 1107: Health Care Provider Reimbursement Disclosure and Liability

Overview

Bill Number: SF 1107
Title: Health care providers certain health care provider reimbursement arrangements disclosure to enrollees and health care providers requirement provision, Ombudsperson for public managed health care programs duties modifications, and health carrier liability when a health care provider is limited in providing services by the health carrier
Status: Referred to Health and Human Services
Introduced: February 06, 2025

Purpose and Intent

The primary goals of this bill are to:
1. Increase transparency around health care provider reimbursement arrangements
2. Expand the duties of the Ombudsperson for public managed health care programs
3. Establish liability for health carriers that limit a provider's ability to deliver services

The bill aims to empower consumers and providers with more information about reimbursement practices, while also holding health carriers accountable for restricting provider services.

Key Provisions

  • Requires health care providers to disclose details of their reimbursement arrangements to enrollees and other providers
  • Expands the Ombudsperson's role to investigate and resolve complaints related to public managed care programs
  • Establishes that health carriers can be held liable if they limit a provider's ability to deliver medically necessary services

Affected Parties and Impacts

  • Enrollees in health plans would gain more visibility into provider reimbursement, potentially helping them make more informed choices
  • Health care providers would have to disclose their reimbursement details, which could impact their competitive positioning
  • Health carriers would face new liability risks if they are found to have inappropriately restricted provider services

Procedural and Timeline Considerations

The bill has been referred to the Health and Human Services committee for further consideration. If passed by the legislature and signed into law, the new disclosure requirements and liability provisions would likely take effect within 6-12 months to allow time for implementation.

Compiled from official sources — confirm details with the bill’s official record.

Sign in to ask a question.