Know Your Provider Act of 2020

2/9/2022, 2:56 AM

Know Your Provider Act of 2020

This bill requires private health insurance plans to

  • establish publicly available databases listing the contact information for providers and facilities delivering services under the plan,
  • periodically verify and update the information on such databases,
  • include notice in other provider directories that the most current information is available through the database, and
  • establish procedures for responding promptly to inquiries from plan holders.

Further, providers and facilities must establish processes for submitting current information to contracted health plans.

Congress
116
Number
HR - 5807
Introduced on
2020-02-07
# Amendments
0
Sponsors
+5
Cosponsors
+5

Variations and Revisions

2/7/2020
Text
PDF
XML

Status of Legislation

Bill Introduced
Introduced to House
House to Vote
Introduced to Senate
Senate to Vote

Purpose and Summary

Know Your Provider Act of 2020

This bill requires private health insurance plans to

  • establish publicly available databases listing the contact information for providers and facilities delivering services under the plan,
  • periodically verify and update the information on such databases,
  • include notice in other provider directories that the most current information is available through the database, and
  • establish procedures for responding promptly to inquiries from plan holders.

Further, providers and facilities must establish processes for submitting current information to contracted health plans.

Alternative Names
Official Title as IntroducedTo amend title XXVII of the Public Health Service Act, the Internal Revenue Code of 1986, the Employee Retirement Income Security Act of 1974, and title XI of the Social Security Act to improve the availability and accuracy of provider directory information made available by group health plans and health insurance issuers offering group or individuals health insurance coverage.
Policy Areas
Health
Potential Impact
Civil actions and liability•
Consumer affairs•
Contracts and agency•
Employee benefits and pensions•
Health care costs and insurance•
Health care coverage and access•
Health information and medical records

Comments

Recent Activity

Latest Summary4/8/2021

Know Your Provider Act of 2020

This bill requires private health insurance plans to

  • establish publicly available databases listing the contact information for providers and facilities delivering services under the pla...
Latest Action2/7/2020
Referred to the Subcommittee on Health.