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IN SB0220
Bill
Status
Engrossed
1/28/2026
Primary Sponsor
Ed Charbonneau
Click for details
AI Summary
- Health carriers must implement a shopping and decision support program beginning January 1, 2028, providing incentives to covered individuals who choose lower-cost network providers for comparable health care services
- Covered individuals must receive at least 50% of the health carrier's cost savings when selecting a provider paid below the average allowed amount, with incentives available as cash payments, deductible credits, or premium reductions
- Health carriers must launch an interactive member portal by December 1, 2027, enabling individuals to access out-of-pocket cost estimates, average provider payments, and quality data (toll-free phone access also permitted)
- Applies to health plans entered into, amended, or renewed after December 31, 2026, but excludes ERISA self-funded plans, dental-only, and vision-only coverage
- Health carriers must file annual reports with the Department of Insurance beginning January 1, 2029, detailing incentive payments and participation rates, with the department submitting aggregate reports to legislative committees by April 1 each year
Legislative Description
Health care shopping and decision support program.
Last Action
First reading: referred to Committee on Insurance
1/29/2026
Committee Referrals
Insurance1/29/2026
Health and Provider Services1/8/2026
Full Bill Text
No bill text available