Repealing insurance rules for calculating out-of-network provider reimbursement rates.
Also proposing repeal of rules regarding the prevention of enrollee balance billing.
Repealed because the statutory authority for their enactment expired Jan. 2, 2022.
Department of Consumer and Business Services' operations not affected by repeals.
Instead, the repeal of the rules will only be to remove obsolete, non-operational rules.
Effective Jan. 1, 2022, the No Surprises Act provisions for determining out-of-network provider reimbursement and prevention of enrollee balance billing protects all groups.
Red-lined version of the repealed rules is available on page 3 of the proposal notice.
Consultation
A hearing on the proposed repeals will be held on Sep. 25, 2024, from 1:30 - 2:00pm.
Comments on the proposal must be submitted on or before 5:00pm on Oct. 2, 2024.
Nov. 2024 ORE INS Repeal
On Nov. 8, 2024, ORE INS repealed reimbursement/billing rule, effective Dec. 1, 2024.
