HB2212

Pennsylvania HB2212 prohibits health care payers from discriminating against out-of-network facilities in health care benefit plans.

Pennsylvania HB2212 amends Title 40 of the Pennsylvania Consolidated Statutes to add a chapter on nondiscrimination by payers in health care benefit plans. The bill prohibits health care payers from discriminating against out-of-network facilities that meet certain criteria, including having a four-star patient satisfaction rating and maintaining Medicare accreditation. It mandates that payers reimburse willing facilities and prohibits retaliation against in-network physicians who own out-of-network facilities.