SB 313 (see companion bill AB 329) – Wisconsin

Status: Inactive / Dead
Year Introduced: 2019

Billing practices for certain health care providers and granting rule-making authority. This bill creates disclosure, notice, billing, and mediation requirements for the situation in which an enrollee in a defined network plan or preferred provider plan may receive services from a health care provider that is not in the plan’s network. If an enrollee of a defined network plan or preferred provider plan receives emergency services from an out-of-network provider, then the plan must reimburse the provider at the usual and customary rate or at a rate
agreed to between the provider and the plan and may not require the enrollee to pay more than the enrollee would have paid if the provider was in the plan’s network.

Return to Database Search

© 2018- The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

Associated Litigation:

No items found