This bill prevents health insurance companies from taking back (recouping) payments they've already made to doctors and providers unless they act within 18 months and provide written notice of why—with exceptions for fraud, claims already paid by another insurer, federal programs like Medicare and Medicaid, workers' compensation, and duplicate payments. The law tightens the rules on "retroactive denials," which happen when an insurer later decides a claim shouldn't have been paid in the first place, giving providers more certainty about keeping legitimate payments.
Signed by the Governor H.J. 579
Delivered to the Governor H.J. 546
Signed by the President S.J. 506
Signed by the Speaker H.J. 529
Senate Do Pass Amended Passed, YEAS 34, NAYS 0. S.J. 461
Health and Human Services Certified uncontested, placed on consent S.J. 25
Health and Human Services Do Pass Passed, YEAS 7, NAYS 0. S.J. 25
Health and Human Services Scheduled for hearing
First read in Senate and referred to Senate Health and Human Services S.J. 357
House of Representatives Do Pass Amended Passed, YEAS 67, NAYS 0. H.J. 390
Commerce and Energy Do Pass Amended Passed, YEAS 12, NAYS 1.
Commerce and Energy Motion to amend
Commerce and Energy Scheduled for hearing
First read in House and referred to House Commerce and Energy H.J. 218
Prime sponsor · Rep.
R
Prime sponsor · Sen.
R
Do Pass Amended
Health and Human Services — Do Pass
Do Pass Amended
Commerce and Energy — Do Pass Amended