As introduced: - Requires insurers and other health care entities to institute site-neutral payments for outpatient services and equal reimbursement rates for providers within the same geographic region. - Prohibits a health carrier from using a software tool, including artificial intelligence, to automatically downcode or deny a health insurance claim without a review by a clinical peer. - Creates a rebuttable presumption that a health service is medically necessary when ordered by a provider in the highest tier of a carrier's tiered network during a utilization review. - Expands restrictions on the use of step therapy to include drugs for the treatment of disabling or life-threatening chronic diseases.
| Date | Chamber | Action |
|---|---|---|
Mar 12, 2026 | — | Joint Favorable |
Mar 12, 2026 | — | Filed with Legislative Commissioners' Office |
Mar 12, 2026 | J | Hearing Scheduled - Insurance and Real Estate |
Mar 3, 2026 | J | Hearing Scheduled - Insurance and Real Estate |
Feb 27, 2026 | — | Public Hearing 03/03 |
Feb 26, 2026 | — | Referred to Joint Committee on Insurance and Real Estate |
| Last Action | Mar 12, 2026 |
|---|---|
| Year | 2026 |
| Bill Type | Bill |
| Created | Mar 21, 2026 |
| Updated | Mar 13, 2026 |