Bills › 91st General Assembly
Relating to health insurers’ credentialing process
Sponsored by Rep. Ann Meyer (R)
Topics:Health careInsurance
Same legislation: HF 875
Where it is now
- Done: IntroducedFebruary 24, 2025
- Done: SubcommitteeFebruary 25, 2025
- Done: House committeeMarch 4, 2025
- Skipped: Passes the HouseContinued as HF 875
- Next: Senate committee
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Became HF 875 → Its progress continues under the new number. Go to HF 875 What’s a funnel?
What’s in it
AI summary Health insurance companies must respond to requests from doctors, nurse practitioners, and physician assistants within a certain number of days. If an insurance company denies a provider's request to join their network, they have to explain why. These medical professionals can also appeal a denial to the insurance division, specifically if the issue involves whether the insurance company has enough doctors in their network.1
Read the official explanation
This bill relates to health insurers’ credentialing process. Under the bill, a health insurer (insurer) shall respond to a physician, advanced registered nurse practitioner, or physician assistant’s request for credentialing within calendar days. If a request for credentialing is denied by the insurer, the insurer shall provide a reason for the denial to the physician, advanced registered nurse practitioner, or physician assistant. The physician, advanced registered nurse practitioner, or physician assistant shall have an opportunity, after an internal appeal, to appeal the denial to the insurance division. In addition to any other grounds for an appeal, network adequacy shall constitute grounds for an appeal.
House subcommittee
Named February 25, 2025. On March 4, 2025 it recommended passage.
Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part
Family tree
91st General Assembly