SB222

Senate Bill 222 amends the Medicaid Provider-Led Organized Care Act to clarify and regulate marketing communications by direct service providers to Medicaid enrollees. The bill explicitly allows providers to inform enrollees about their network participation status with risk-based provider organizations (RBPOs) and the implications of choosing an RBPO where the provider is not in-network. It prevents the Department of Human Services or RBPOs from restricting these communications, provided the information is accurate and does not attempt to influence an enrollee's choice. Providers are still required to comply with federal managed care marketing rules. An emergency clause is included to address immediate confusion regarding care continuity and informed decision-making for Medicaid beneficiaries, allowing the act to take effect upon approval.