SB 1198: Health Insurance Claims
GENERAL BILL by Massullo
Health Insurance Claims; Expanding the scope of the statewide provider and health plan claim dispute resolution program to include resolution of denied prior authorization requests; providing that participation in the program is mandatory and prohibiting providers and health plans from opting out of the claim dispute resolution process; prohibiting contracts between certain physicians and health insurers and health maintenance organizations, respectively, from specifying credit card payments to physicians as the only acceptable method for payments; authorizing use of electronic funds transfers by health insurers and health maintenance organizations, respectively, for payments to physicians under certain circumstances, etc.
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Bill History
Date Chamber Action 1/6/2026 Senate • Filed
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SB 1198, Original Filed Version (Current Bill Version) Posted 1/6/2026 at 12:29 PM
Bill Text: Web Page | PDF Analyses: None Related Bills (1)
Bill Number Subject Filed By Relationship Last Action and Location Track Bills H 1023 Insurance Claims Payments to Health Care Providers Black Similar Last Action: 1/6/2026 H Filed 
Citations - Statutes (5)
Citation Catchline Location in Bill Location In Bill Help 408.7057 Statewide provider and health plan claim dispute resolution program. Page 2 (pdf) 409.967 Managed care plan accountability. Page 15 (pdf) 627.6131 Payment of claims. Page 8 (pdf) 627.64194 Coverage requirements for services provided by nonparticipating providers; payment collection limitations. Page 16 (pdf) 641.315 Provider contracts. Page 12 (pdf)