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House approves bill to require insurers to reimburse providers at in‑network rates during credentialing
Summary
House Bill 32 42 A passed to require insurers to reimburse newly hired providers at in‑network rates during the credentialing period when the provider joins an already in‑network practice. Sponsors said the change improves access to care and reduces financial strain during credentialing delays.
The Oregon House on March 10 approved House Bill 32 42 A, which requires health insurers to reimburse a provider at in‑network rates for services provided during the credentialing period when that provider joins a group already in‑network with the insurer.
Representative Deal described credentialing as the insurer process to verify a provider’s qualifications for reimbursement and said the credentialing period can last up to 90 days. The bill would ensure providers entering an established in‑network practice receive in‑network reimbursement during credentialing, reducing the incentive for providers to delay seeing patients or absorb unpaid costs. Deal said the bill has the support of the Oregon Hospital Association and the Oregon Medical Association and that insurers contacted were supportive or neutral.
The sponsor framed the change as a “common sense” fix to improve provider onboarding and patient access to primary care. No floor amendments were recorded. The clerk announced that House Bill 32 42 A "having received the constitutional majority is declared passed." The transcript does not print a full roll call tally.
Why it matters: The bill affects how newly hired providers are paid while insurers complete credentialing and could reduce short‑term disruptions in patient access when new clinicians join an existing practice.
Floor record: House Bill 32 42 A was passed on third reading; specific vote tallies are not printed in the provided transcript.
