WA SB5588

Health carriers must offer providers a meaningful opportunity to negotiate contract terms in good faith, including providing a designated contact person, fee schedules upon request, and clear comparisons between new and previous contracts during renewals

Provider contracts entered into or renewed after January 1, 2027 may not include "all-or-nothing clauses" requiring providers to contract with multiple health plans, or provisions requiring providers to accept discounted rates under other contracts

Insurance commissioner must review carrier provider networks to ensure adequate in-network access to emergency medicine, anesthesiology, pathology, radiology, surgery, hospitalist services, and behavioral health emergency services at contracted hospitals and surgical facilities

Commissioner must assess whether providers in carrier networks are actually providing services to enrollees and adopt a uniform data request form for this purpose

Carriers seeking alternate access delivery requests when unable to contract with sufficient providers must demonstrate good faith contracting efforts, notify affected out-of-network providers within five days, and ensure enrollees face no greater costs