HB184
All-Payer Claims Database; SCC's Bureau of Insurance to evaluate, report.
Status:
In Senate
Latest Action:
Feb. 5, 2026
Senate: Referred to Committee on Commerce and Labor
Chief Patron:
Dan Helmer (D)
Session:
2026 Regular Session
Summary
As Introduced. Health carrier contracts; site-neutral payment policy for applicable services; annual report; civil penalty.
Requires any provider that enters into a provider contract with a health carrier to accept as payment in full for all applicable services, as defined in the bill, rates that shall not exceed 150 percent of the amount paid as the Medicare non-hospital rate, as defined in the bill, for ... (More) the same services. The bill also prohibits such providers from charging, billing, or accepting payment for applicable services that exceeds the lesser of (i) 150 percent of the Medicare non-hospital rate or (ii) the negotiated rate agreed upon with the carrier. The bill requires the State Corporation Commission, in consultation with the Department of Health, to annually submit a report to the Governor and General assembly on information regarding payment for applicable services and to publish such report online. Under the bill, each carrier is also required to submit an annual report to the Commission. The bill includes civil penalty provisions of (a) $1,000 per claim improperly billed or (b) $100,000 per contract occurrence. Under the bill, 'applicable services' means outpatient or ambulatory services that can be provided safely and appropriately across ambulatory care settings. (Less)-
Bill History
- 01/07/2026 - House: Prefiled and ordered printed; Offered 01-14-2026 26104546D
- 01/07/2026 - House: Referred to Committee on Labor and Commerce
- 01/15/2026 - House: Assigned HCL sub: Subcommittee #1
- 01/19/2026 - House: Placed on Labor and Commerce Agenda
- 01/23/2026 - House: Placed on Labor and Commerce Agenda
- 01/27/2026 - House: House subcommittee offered
- 01/27/2026 - House: Subcommittee recommends reporting with substitute (9-Y 0-N)
- 01/28/2026 - House: Placed on Labor and Commerce Agenda
- 01/29/2026 - House: Reported from Labor and Commerce with substitute (22-Y 0-N)
- 01/29/2026 - House: Committee substitute printed 26106322D-H1
- 02/02/2026 - House: Read first time
- 02/03/2026 - House: Read second time
- 02/03/2026 - House: committee substitute agreed to
- 02/03/2026 - House: Engrossed by House - committee substitute
- 02/04/2026 - House: Read third time and passed House (97-Y 1-N 0-A)
- 02/04/2026 - House: Reconsideration of passage agreed to by House
- 02/04/2026 - House: Passed House (98-Y 0-N 0-A)
- 02/05/2026 - Senate: Constitutional reading dispensed (on 1st reading)
- 02/05/2026 - Senate: Referred to Committee on Commerce and Labor
