SB 735: Health insurance; denial of referral by direct primary care provider prohibited.

Official summary

Abstract published by the legislature (via Open States). Text as published by the legislature; reproduced verbatim.

Health insurance; denial of referral by direct primary care provider prohibited. Prohibits a health insurance carrier from (i) denying payment for any health care service covered under an enrollee's health benefit plan based solely on the basis that such enrollee's referral was made by a direct primary care provider or (ii) imposing a cost-sharing requirement greater than the applicable cost-sharing requirement that would apply to the same health care service if the service was referred by a participating provider. The bill provides that a health insurance carrier may require a direct primary care provider to provide information demonstrating that such provider has entered into a direct primary care agreement with the enrollee.

Sponsors

Sponsors by party (alphabetical): Republican 1

“Support” is shown only as formal sponsorship recorded by the legislature. Roll-call votes are available on the official bill page.

Recent official actions

1. November 18, 2024Left in Commerce and Labor
2. February 5, 2024Continued to 2025 in Commerce and Labor (9-Y 6-N)
3. February 5, 2024Impact statement from DPB (SB735)
4. January 19, 2024Referred to Committee on Commerce and Labor
5. January 19, 2024Presented and ordered printed 24104904D