NC S46

Requires in-network health service facilities to provide written notice to patients listing all out-of-network healthcare providers (anesthesiologists, emergency medicine doctors, pathologists, radiologists, and physician assistants) who may treat them during their visit.

Mandates notification include estimated patient costs for services rendered by identified out-of-network providers.

Requires written notice be delivered at least 72 hours before the scheduled appointment; if insufficient time exists, notice must be given on the day of scheduling, except for emergency services which require notice as soon as reasonably possible.

Applies to all contracts between insurers and in-network health service facilities in North Carolina where out-of-network providers may provide covered services.

Becomes effective October 1, 2023, for contracts entered into, amended, or renewed on or after that date; defers to federal Consolidated Appropriations Act, 2021 (P.L. 116-260) if any conflict exists.