Relating to certain practices of health benefit plan issuers to encourage the use of certain physicians and health care providers and rank physicians.

Summary

The bill lets HMOs and insurers offer cost‑sharing incentives to steer members toward certain doctors, but only if the action benefits the enrollee and is not driven by the insurer’s own control of the doctor. It also sets strict rules for any physician ranking or tiering system, requiring approved quality standards, advance notice, and a fair‑process for doctors to dispute rankings. Violations can lead to a 12‑month ban on using rankings.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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