H.F. 1782 Summary

• Health plan companies may only terminate a provider's contract for cause if the contract includes an appeal process allowing the provider to request review and present relevant documents and arguments.

• Written termination notices must include the reasons for termination, effective date, and a description of the appeal process available to the provider.

• Health plan companies may unilaterally terminate contracts without appeal rights for specific causes including fraud, loss of licensure, patient safety concerns, federal program suspension/exclusion, bankruptcy, and failure to disclose ownership changes.

• Health plan companies are prohibited from terminating a provider's contract without cause.

• Enrollees of terminated providers receive continuity of care authorization for up to 120 days for certain conditions (acute conditions, life-threatening illness, pregnancy beyond first trimester, disabilities lasting one year or more, or disabling chronic conditions in acute phase), or for the enrollee's lifetime if certified with 180 days or less to live.