Relating to the method of payment for certain health care and certain contract provisions affecting health care reimbursement rates. HB 4051 would prohibit the restriction of a physician or health care provider from accepting direct payments from an enrollee in lieu of
making a claim to their health benefit plan. The bill also would prohibit the use of favored nation clauses in provider contracts. Favored nation clauses prohibited. The bill would prohibit an entity
contracting with a provider for the delivery of health care services from:
 offering a contract that included a most favored nation clause;
 entering into a contract that included such a clause; or
 amending or renewing an existing contract so that the contract
added or retained such a clause.
The bill would specify the provisions in a provider network contract that
would be considered a “most favored nation clause.”