New Rules for Out-of-Network Home Health Care
September 15, 2025
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Where This Stands
This resolution did not advance - its current status is "Withdrawn prior to introduction".
Procedural history
4 actions- Oct 29, 2025SenateWithdrawn prior to introduction
- Oct 29, 2025SenateWithdrawn from Banking and Insurance; Appropriations Committee on Health and Human Services; Fiscal Policy
- Oct 6, 2025SenateCommitteeReferred to Banking and Insurance; Appropriations Committee on Health and Human Services; Fiscal Policy
- Sep 15, 2025SenateIntroducedFiled
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →The Frame
If passed, this legislation would ensure that patients using state-regulated insurance or Medicaid have the same financial coverage for home health care regardless of whether the provider is in their insurance network, potentially expanding the pool of available home health workers for residents.
Potentially affected actors named in the source documents. Mention is not a position.
Medicaid recipients
They gain the right to access out-of-network home health providers without plan restrictions.
Health insurance companies
They are prohibited from steering patients to in-network providers and must pay out-of-network providers at in-network rates.
Nurse registries and home health agencies
They are entitled to receive the same reimbursement rates as in-network providers for equivalent services.
Current stage: Withdrawn prior to introduction.
Next step not available in the current record.
Summary
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
Will my insurance cover out-of-network home health care under this bill?
Does this apply to my private health insurance?
Why It Matters
If passed, this legislation would ensure that patients using state-regulated insurance or Medicaid have the same financial coverage for home health care regardless of whether the provider is in their insurance network, potentially expanding the pool of available home health workers for residents.
News Coverage
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Mandatory Parity for Out-of-Network Rates
The bill forces a shift from negotiated network rates to a mandatory parity model for specific home health services, effectively removing the financial incentive for insurers to maintain exclusive networks for these services.
Connected Entities
Sources
openstates.org
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy40Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz20Current news / social attention level
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