BILL · 2019–20 SESSION · LATEST VERSION EHB 1552

HB 1552: Health carrier credentialing

Concerning health care provider credentialing by health carriers.

Summary

  • Prohibits health carriers from requiring a health care provider to submit credentialing information in a format other than through the database selected by the Office of the Insurance Commissioner.
  • Requires health carriers to reimburse a health care provider for covered health care services provided to the carrier's enrollees during the credentialing process under certain circumstances.
  • Permits hospitals, rural health clinics, and rural providers to use substitute providers in certain circumstances.
  • Requires Medicaid managed care organizations (MCOs) to reimburse substitute providers that provide services to MCO beneficiaries.

From the Engrossed House Bill Report (EHB 1552), written by the Legislature's nonpartisan staff. Read the full report ↗

Enacted Enacted · Chapter 4, Laws of 2020
  1. IntroducedJan 24, 2019
  2. Out of committeeJan 30, 2020
  3. Passed HouseFeb 17, 2020
  4. Passed SenateMar 6, 2020
  5. GovernorMar 17, 2020
  6. LawMar 17, 2020
Prime sponsor
Laurie Dolan (D-22)
Introduced
January 24, 2019 in the House
Last action
March 17, 2020
Session law
Chapter 4, Laws of 2020
Budget
Has a fiscal note

AN ACT Relating to health care provider credentialing by health carriers;

Sponsors

Votes

House · 3rd Reading & Final Passage

Passed February 17, 2020
Version voted on: EHB 1552
98 Yea 0 Nay 0 Absent 0 Excused
PartyYeaNayAbsentExcused
Democrat57000
Republican41000
How each member voted

Yea (98)

Senate · 3rd Reading & Final Passage as Amended by the Senate

Passed March 6, 2020
Version voted on: EHB 1552
48 Yea 0 Nay 0 Absent 1 Excused
PartyYeaNayAbsentExcused
Democrat29000
Republican19001
How each member voted

House · Final Passage as Amended by the Senate

Passed March 9, 2020
Version voted on: EHB 1552
96 Yea 0 Nay 0 Absent 2 Excused
PartyYeaNayAbsentExcused
Democrat57000
Republican39002
How each member voted

Yea (96)

Excused (2)

History

  1. Chapter 4, 2020 Laws. (EHB 1552)
  2. Governor signed. (EHB 1552)
  3. Effective date 3/17/2020*. (EHB 1552)
  4. Delivered to Governor. (EHB 1552)
  5. Speaker signed. (EHB 1552)
  6. President signed. (EHB 1552)
  7. Passed final passage; yeas, 96; nays, 0; absent, 0; excused, 2. (EHB 1552)
  8. House concurred in Senate amendments. (EHB 1552)
  9. Third reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1. (EHB 1552)
  10. Rules suspended. Placed on Third Reading. (EHB 1552)
  11. Floor amendment(s) adopted. (EHB 1552)
  12. Placed on second reading by Rules Committee. (EHB 1552)
  13. Minority; without recommendation. (EHB 1552)
  14. Minority; do not pass. (EHB 1552)
  15. HLTC - Majority; do pass. (EHB 1552)
  16. Passed to Rules Committee for second reading. (EHB 1552)
  17. First reading, referred to Health & Long Term Care. (EHB 1552)
  18. Third reading, passed; yeas, 98; nays, 0; absent, 0; excused, 0. (EHB 1552)
  19. Rules suspended. Placed on Third Reading. (EHB 1552)
  20. Floor amendment(s) adopted. (EHB 1552)
  21. Rules Committee relieved of further consideration. Placed on second reading. (EHB 1552)
  22. Referred to Rules 2 Review. (EHB 1552)
  23. HCW - Majority; do pass. (EHB 1552)
  24. By resolution, reintroduced and retained in present status. (EHB 1552)
  25. First reading, referred to Health Care & Wellness. (EHB 1552)

HB 1552 in other sessions

Bill numbers restart every two years, so the same number is a different bill in each session.

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