SB 261
Modifies provisions relating to unanticipated out-of-network health care
LR Number:
Last Action:
1/28/2021 - Second Read and Referred S Insurance and Banking Committee
Journal Page:
Calendar Position:
Effective Date:
August 28, 2021

Current Bill Summary

SB 261 - This act modifies the definition of "unanticipated out-of-network care" to no longer require that the patient shall present at the in-network facility "with an emergency medical condition".

The act also specifies that "unanticipated out-of-network care" shall include a referral or transfer from an in-network provider to an out-of-network provider in a situation where the only provider capable of rendering life-saving or life-sustaining treatment to the patient is an out-of-network provider.

Lastly, the act provides that in-network deductible, "co-pay, coinsurance," and out-of-pocket maximum cost-sharing requirements shall apply to claims for unanticipated out-of-network care, rather than the in-network deductible and out-of-pocket requirements alone.

This act is identical to SB 944 (2020), and similar to HB 2417 (2020).



No Amendments Found.