SB 546 (2026)
Mandate secret shopper audits for health network adequacy
This bill is still active.
Last updated 2025-12-01 4:49 pm
Summary:
Requires commercial health insurance carriers to implement "secret shopper" protocols to audit compliance with network adequacy and appointment wait time standards. It authorizes the Insurance Department to impose penalties and requires carriers to reimburse out-of-network claims if they fail to maintain accurate provider directories or meet standards.
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