Any Willing Provider Laws
State statutes requiring health plans to admit any provider into their network who accepts the plan's terms and reimbursement, rather than limiting participation to a chosen panel. These laws affect which surgery centers and physicians can join a payer's network.
What are Any Willing Provider Laws?
Any Willing Provider Laws are state statutes that require a health plan to accept into its network any qualified provider who is willing to meet the plan's standard terms and accept its reimbursement rates. Rather than allowing the insurer to build a narrow, hand-picked panel, these laws open participation to providers who satisfy the contract's conditions.
The specifics vary widely by state, and some versions apply only to particular provider types, services, or plan categories. The common thread is that a plan cannot simply exclude a provider who agrees to play by the same rules as everyone already in the network.
Why do Any Willing Provider Laws matter for surgery centers?
For ambulatory surgery centers and individual physicians, these laws can shape whether they are able to join a payer's network and therefore reach that payer's covered patients. In states with such requirements, a center that meets credentialing and contract terms may have a clearer path to participation than it would under purely selective contracting.
Payers, by contrast, often argue that broad participation limits their ability to steer volume and negotiate favorable rates. The result is an ongoing tension between network access for providers and the payer's interest in a more controlled, cost-managed network.
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