SESSION WATCH
Died SENATE · SESSION 2026

No. SB 46

Nonparticipating and Out-of-network Nurse Registries and Home Health Agencies
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SPONSOR
Sharief
FILED BY
Barbara Sharief — District 35, Democrat [search donations]
EFFECTIVE
7/1/2026

Filed under Insurance.

PROVIDED SUMMARY

Nonparticipating and Out-of-network Nurse Registries and Home Health Agencies; Prohibiting state group health insurance plans and state-contracted health maintenance organizations, the Agency for Health Care Administration, Medicaid managed care plans, individual health insurers, and health maintenance organizations, respectively, and any persons responsible for administering claims on behalf of such plans, organizations, agency, or insurers, from restricting participants, recipients, enrollees, policyholders, and subscribers from obtaining care from nonparticipating or out-of-network licensed nurse registries or home health agencies; revising applicability for group health insurance, blanket health insurance, and franchise health insurance, etc.

Full bill text →

Plain English Summary

AI-GENERATED
Bars health plans from limiting patients to in-network home care.

State group health plans, Medicaid, Medicaid managed care plans, individual and group health insurers, and HMOs can no longer stop a patient from getting care from a licensed nurse registry or home health agency outside their network.

These plans also cannot steer, require, or unduly influence a patient toward an in-network provider instead, going beyond simply allowing out-of-network care.

Out-of-network nurse registries and home health agencies must be paid the same rate as in-network providers for the same services, overriding the usual out-of-network reimbursement rules for health insurers and HMOs.

KEY PROVISIONS
§ 1 Plans cannot restrict access to out-of-network home care majors. 110.1236

AIBars state group health plans, Medicaid, Medicaid managed care plans, individual health insurers, and HMOs from restricting patients from obtaining care from a nonparticipating or out-of-network nurse registry or home health agency licensed under part III of chapter 400.

“may not restrict participants from obtaining care from nonparticipating or out of-network nurse registries or home health agencies” bill text, line 38 →
§ 2 Plans cannot steer patients toward in-network providers either majors. 110.1236

AIGoes beyond banning outright restriction: these plans also may not steer, require, or unduly influence a patient to use a preferred or in-network nurse registry or home health agency instead of the out-of-network one the patient chose.

“may not steer, require, or unduly influence a participant to use preferred or in-network nurse registries or home health agencies” bill text, line 42 →
§ 3 Out-of-network providers must be paid the in-network rate majors. 110.1236

AIRequires nonparticipating and out-of-network nurse registries and home health agencies to be reimbursed at the same rate as in-network providers for equivalent services, removing the usual pay gap between in- and out-of-network care.

“must be reimbursed at the same rate as in-network providers for equivalent services under the plan.” bill text, line 46 →
§ 4 Same protections extended to group, blanket, and franchise insurance moderates. 627.662

AIAdds the individual-policy version of this rule to the list of provisions that also apply to group health insurance, blanket health insurance, and franchise health insurance, so those policies get the same protections as individual policies.

“Section 627.64744, relating to policy prohibitions and nonparticipating and out-of-network nurse registries and home health agencies.” bill text, line 100 →
§ 5 Overrides existing reimbursement and steering rules for insurers moderates. 627.64744

AIFor individual health insurers, expressly overrides sections 627.6471 and 627.64194, the general statutes that otherwise govern steering practices and out-of-network reimbursement, so those existing rules give way to this bill's requirements for nurse registries and home health agencies specifically.

“Notwithstanding s. 627.64194, nonparticipating and out-of-network nurse registries and home health agencies licensed under part III of chapter 400” bill text, line 90 →
TIMELINE
10/29/2025
Withdrawn prior to introduction
10/29/2025
Withdrawn from Banking and Insurance; Appropriations Committee on...
10/6/2025
Referred to Banking and Insurance; Appropriations Committee on...
9/15/2025
Filed
STATUTES IT CHANGES
s. 110.1236
+145 / −0
s. 409.9055
+111 / −0
s. 409.9755
+115 / −0
s. 627.64744
+125 / −0
s. 627.662
+17 / −0
s. 641.3152
+120 / −0