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Committee approves measure to reimburse in‑network rate while provider completes credentialing
Summary
House Bill 3,242 (as amended) would require insurers to reimburse providers at the in‑network rate during credentialing; the committee adopted a dash‑2 amendment to require provider groups to reimburse insurers if a provider fails to complete credentialing, and moved the bill to the floor.
The committee held a work session on House Bill 3,242, a measure that would require a health insurer to reimburse a provider who is joining an in‑network provider group at the in‑network rate during the credentialing period. Staff explained a dash‑2 amendment requiring the provider group to reimburse the insurer if the provider does not complete credentialing or meet credentialing requirements.
The committee adopted the dash‑2 amendment and then voted to send the bill to the floor with a due‑pass recommendation. The roll call showed a unanimous affirmative vote among members present; one member (Representative McIntyre) was recorded as excused. Representative Deal indicated she will carry the bill on the floor.
Committee staff said the dash‑2 amendment contains a minimal fiscal impact and no revenue impact.
