Nonparticipating providers.
What changed between versions
All dates were updated to reflect the bill's final passage in late January and engrossment on February 17, 2026.
The bill number was changed from SB 189 to ES 189 to indicate it is an engrossed version ready for signing.
New requirements mandate that parties initiating a dispute resolution request must notify the facility within three business days.
New rules require health carriers to notify out-of-network providers and facilities if they receive 25 or more dispute requests within a 90-day period.
New provisions require all parties (carrier, provider, and facility) to engage in good faith efforts to negotiate a resolution when notice is provided.
New definitions were added for 'claim specific payment information,' 'facility,' 'health carrier,' 'independent dispute resolution,' 'initiating party,' and 'out of network provider.'
The specific statute amending unfair trade practices was replaced with a new chapter establishing the dispute resolution framework, though the prohibition on administrative fees remains.
