Statutory Revision Committee. House Bill 19-1174, enacted January 1, 2020, requires a health insurance carrier to reimburse an out-of-network health care provider who provides emergency services or covered nonemergency services to a covered person at an in-network facility the greater of:
- 110% of the carrier's median in-network rate of reimbursement; or
- The sixtieth percentile of the in-network rate of reimbursement for the same service in the same geographic area for the prior year based on claims from the all-payer claims database.
The bill corrects a conforming amendment that was made in House Bill 19-1174 that inaccurately stated the reimbursement rate.
(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)