Statewide Provider and Health Plan Claim Dispute Resolution Program

Summary

The bill amends the dispute‑resolution statute to add nine new categories of claims that will not be reviewed by the program, including interest payments, Medicare internal grievances, out‑of‑network services handled by federal processes, and claims already covered by older contracts. It applies to both contracted and non‑contracted health providers and plans. The changes were set to take effect on July 1, 2026, but the measure died in committee.

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