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HB3242 • 2025

Requires health insurers to pay providers who are joining an in-network practice the same as in-network providers during the credentialing period.

Requires health insurers to pay providers who are joining an in-network practice the same as in-network providers during the credentialing period.

Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Representative Diehl, Representative Harbick,, Javadi,, McIntire,, Reschke,
Last action
2025-06-11
Official status
Chapter Number Assigned
Effective date
Not listed

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Bill History

  1. 2025-06-11 House

    Chapter 126, (2025 Laws): effective on the 91st day following adjournment sine die.

  2. 2025-05-22 House

    Governor signed.

  3. 2025-05-15 Senate

    President signed.

  4. 2025-05-14 House

    Speaker signed.

  5. 2025-05-13 Senate

    Third reading. Carried by Campos. Passed. Ayes, 28; Excused, 2--Gelser Blouin, Hayden.

  6. 2025-05-12 Senate

    Carried over to 05-13 by unanimous consent.

  7. 2025-05-08 Senate

    Carried over to 05-12 by unanimous consent.

  8. 2025-05-07 Senate

    Recommendation: Do pass the A-Eng. bill.

  9. 2025-05-07 Senate

    Second reading.

  10. 2025-04-29 Senate

    Work Session held.

  11. 2025-04-17 Senate

    Public Hearing held.

  12. 2025-03-12 Senate

    Referred to Health Care.

  13. 2025-03-11 Senate

    First reading. Referred to President's desk.

  14. 2025-03-10 House

    Third reading. Carried by Diehl. Passed. Ayes, 54; Excused, 5--Breese-Iverson, Edwards, Levy E, Nguyen H, Smith G; Excused for Business of the House, 1--Owens.

  15. 2025-03-06 House

    Second reading.

  16. 2025-03-04 House

    Recommendation: Do pass with amendments and be printed A-Engrossed.

  17. 2025-02-27 House

    Work Session held.

  18. 2025-02-11 House

    Public Hearing held.

  19. 2025-01-17 House

    Referred to Behavioral Health and Health Care.

  20. 2025-01-13 House

    First reading. Referred to Speaker's desk.

Official Summary Text

<b>Digest: This Act tells a health insurer to pay a health care provider in the same way it would pay them if they were in-network during a certain time and in some situations. Tells the provider to pay back the money sometimes. Tells insurers to tell providers that their application is incomplete in certain circumstances. (Flesch Readability Score: 61.6).</b>
[<i>Digest: This Act tells a health insurer to pay a health care provider in the same way it would pay if they were in-network during a certain time and in some situations. (Flesch Readability Score: 63.4).</i>]
Requires health insurers to pay providers who are joining an in-network practice the same as in-network providers during the credentialing period. <b>Requires repayment by the provider group if the provider does not meet credentialing criteria or submit a complete application. Establishes a notification process of an incomplete application for the purpose of determining repayments.</b>
Takes effect on the 91st day following adjournment sine die.
Relating to: Relating to in-network credentialing; and prescribing an effective date.
Current location: Chapter Number Assigned