People with nonprofit health coverage or health maintenance organization plans can assign payments for covered care to their providers, and insurers must honor that choice.
People with nonprofit health coverage or health maintenance organization plans can direct covered payments to providers. Insurers must still pay providers if they mistakenly pay patients after receiving those directions.
Patients or certain licensed providers are entitled to payment for covered care, as applicable. Nurses must be authorized to perform extra acts in emergencies or other special conditions; duplicate nursing services need not be paid.
Patients may direct payments for covered services to the health care provider who treated them. This applies to nonprofit hospital, medical, or dental service contracts and health maintenance organization plans. The provider must have delivered services covered by the contract or plan. The nonprofit insurer or health maintenance organization must pay the assigned benefits to the designated provider. That payment satisfies its duty to pay those benefits. The duty to pay again applies when the insurer received a copy of the patient's payment assignment before mistakenly paying the patient. The law took effect on January 1, 2026. An insurer that pays the patient by mistake must pay the provider as soon as it receives notice of the mistake.
Patients or certain licensed providers who treat them are entitled to payment for covered care, as applicable. The rules cover individual and group insurance, nonprofit medical service contracts, and health maintenance organization plans. Employer health benefits are covered only for the specified nursing services. Treatment must fall within the provider's licensed practice and meet the plan's coverage requirements. Payment for licensed acupuncture practitioners depends on the plan covering acupuncture performed by a physician. Registered nurses must have State Board of Nursing authorization to perform extra acts in emergencies or other special conditions. Their services must also qualify for payment when another health care provider performs them. Insurers and employers need not pay for these nursing services when they duplicate another provider's services. The law took effect on January 1, 2026.
No hearings or votes scheduled.