Preserves the ability of health care providers to access the independent dispute resolution process
This bill preserves healthcare providers' access to independent dispute resolution for payment disagreements with insurers. It updates fee determination rules to require resolution entities to consider factors like provider training, usual charges for similar services, regional rates, and case complexity when setting fair reimbursement. The changes directly affect doctors, hospitals, and insurers by clarifying how payment disputes over services will be resolved. The law ensures providers can challenge underpayment claims using these specific, transparent criteria. It does not create new payment standards but maintains existing dispute resolution access.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 30, 2025
Last action Jan 7, 2026
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
2
Key actions
0
Committee
2
Jan 7, 2026
Committee
REFERRED TO INSURANCE
lower
Jan 30, 2025
Committee
REFERRED TO INSURANCE
lower
1 primary · 14 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
David Weprin
DDemocratic
Co
Anna Kelles
DDemocratic/Working Families
Co
Carrie Woerner
DDemocratic
Co
Charles Fall
DDemocratic
Co
Dave McDonough
RRepublican
Co
Doug Smith
RRepublican
Co
Jake Blumencranz
RRepublican/Conservative
Co
Jo Anne Simon
DDemocratic
Co
Jodi Giglio
RRepublican/Conservative
Co
Joe DeStefano
RRepublican/Conservative
Co
John Mikulin
RRepublican
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