Concerning Gag Clauses in Individual and Group Health Benefit Plans

Health-care facilities – emergency and nonemergency services – required disclosures – balance billing – rules – definitions.

Health-care providers – required disclosures – balance billing – rules – definitions

Insurance – Conformity With Federal Law – The No Surprises Act and Other
Provisions of the Consolidated Appropriations Act, 2021

Reports to legislature.

Commissioner authority—Enforcement—Penalties.

Application of state and federal requirements—Applicability information access—Waivers prohibited.

Allowed amounts paid to nonparticipating providers.

Determining the adequacy of provider networks—Required considerations.

Purpose and Applicability, Definitions, Out-of-Network Notice and Disclosure Requirements, Health Benefit Plan Issuer and Administrator Responsibility