Establishes arbitration and notification process for health insurance carriers and provider networks when dispute arises over maintaining providers as in-network.
This bill creates a binding arbitration process for disputes between health insurance companies (carriers) and healthcare providers over pricing and payment terms when negotiations fail. If a dispute isn't resolved 60 days before a provider network contract expires, arbitration is automatically triggered. Both parties must submit final offers before arbitration, and the arbitrator must choose one of those offers - making the decision binding. Patients receive 30 days' notice before providers become out-of-network for the next plan year, and coverage remains unchanged until the new plan year begins. The Department of Banking and Insurance administers the process.
Bill status
in committee
1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 8, 2025
Last action Dec 8, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
1
Key actions
0
Committee
0
Dec 8, 2025
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Roy Freiman
DDemocratic
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