SB 1264

Status: Sent to governor
Author: Sen. Kelly Hancock 
Sponsor: Rep. Tom Oliverson
Summary: Revises current laws regarding mediation and arbitration procedures involving situations of balance billing. Requires TRS to use arbitration for balance billing complaints regarding ActiveCare and TRS-Care, rather than mediation as is currently used in disputes. The arbitrator must select either the billed amount or the initial payment amount as the binding award amount for certain providers, with no option for a compromise amount. TRS estimates that this provision could cost the ActiveCare plan an additional $30 million in the upcoming biennium and TRS-Care could experience additional costs of more than $5 million for the biennium. These costs could result in insurance rate increases.  

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