Health insurance; definitions, prohibited restrictions on in-network referrals.

Health insurance; prohibited restrictions on in-network referrals. Prohibits a health insurance carrier from prohibiting an in-network provider, as defined in the bill, from referring any enrollee or specimen to any in-network clinical laboratory or in-network pathology service provider under the terms of such insurance unless such referral would constitute a violation of certain laws. This bill is identical to SB 745.

Source: OpenStates · fetched April 13, 2026

• Medicaid / public insuranceindirectModerate impactHigh certainty

  Health insurance carriers are prohibited from restricting in-network providers from referring enrollees to in-network clinical laboratories or pathology service providers, which may impact the choice of services available to Medicaid enrollees.

  “Prohibits a health insurance carrier from prohibiting an in-network provider, as defined in the bill, from referring any enrollee or specimen to any in-network clinical laboratory or in-network pathology service provider under the terms of such insurance unless such referral would constitute a violation of certain laws.”· Health insurance; prohibited restrictions on in-network referrals.