41-2873 — BEST PRICE -- MOST FAVORED NATIONS CLAUSE PROHIBITED
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TITLE 41
INSURANCE
CHAPTER 28
ORGANIZATION AND CORPORATE PROCEDURES
OF STOCK AND MUTUAL INSURERS
41-2873. BEST PRICE -- MOST FAVORED NATIONS CLAUSE PROHIBITED. (1) No
stock or mutual insurance company (hereafter, insurance company) may require,
as an element of any health care provider participation contract, that any
provider agree:
(a) To the unnegotiated adjustment by the insurance company of the
provider's contractual reimbursement rate to equal the lowest
reimbursement rate the provider has agreed to charge any other payor;
(b) To a requirement that the provider adjust, or enter into negotiations
to adjust, his or her charges to the insurance company if the provider
agrees to charge another payor lower rates; or
(c) To a requirement that the provider disclose his or her contractual
reimbursement rates from other payors.
(2) For the purposes of this section, "provider" means any physician,
hospital, or other person licensed or otherwise authorized to furnish health
care services in Idaho.