AI-generated summary, not yet reviewed by Better Utah staff. Please consult the bill text.

Starting in January 2027, this bill would require health insurers to publish and update online directories of in-network providers—including doctors, mental health providers, hospitals, and pharmacies—with detailed contact and service information, and to audit those directories for accuracy at least once a year. When a patient cannot get an appointment with an in-network mental health or substance use provider within 15 days (or 24 hours for urgent or crisis care), the insurer would have to arrange a "single case agreement" allowing the patient to see an out-of-network provider at in-network cost-sharing rates, with that payment counting as payment in full. Providers would be required to respond to insurer requests to verify their directory information within 15 business days, and insurers or the state insurance commissioner could send educational letters to providers who repeatedly fail to do so; the commissioner could also require insurers to cover costs or reimburse patients who relied on inaccurate directory listings. Separately, the bill would direct the Division of Professional Licensing to convene a working group by June 2026 to study whether Utah should create a single statewide behavioral health provider database, with findings due to the Legislature by November 2026 and this study provision expiring in July 2027.