WeVote
Log In

Bill

Bill

SB 17

Out-of-Network Health Insurance Dispute Resolution

2026 Regular Session

SB 17 creates a formal dispute resolution process for disagreements over out-of-network health insurance claim payments in Colorado.

Governor Signed
#insurance
0
WeVote Research Nonpartisan
Bill Summary · SB 17

Legislative bill overview

SB 17 establishes a dispute resolution process for out-of-network health insurance claims in Colorado. The bill creates a mechanism to address disagreements between insurers and healthcare providers regarding payment amounts for services rendered outside an insurer's contracted network.

Why is this important

Out-of-network disputes can result in surprise medical bills for patients and payment disagreements between providers and insurers. Clear resolution procedures reduce litigation costs, provide faster claim resolution, and potentially lower healthcare costs by establishing standardized dispute processes rather than ad-hoc negotiations or court battles.

Potential points of contention

  • Cost allocation: Whether dispute resolution costs (arbitration, mediation) are borne by insurers, providers, or patients, and how this affects insurance premiums and provider reimbursement rates
  • Scope and binding authority: Whether dispute decisions are binding or advisory, and what standards arbitrators use to determine "reasonable" out-of-network payment rates
  • Patient protection gaps: Whether the process adequately protects patients from being caught between insurers and providers during disputes, or if patients remain liable for disputed amounts

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

Sign in to ask a question.