Did not become law. It stopped in the House of Representatives's Insurance and Real Estate Committee on January 15, 2025. The 2025 session has ended.
2025 Regular Session
House Bill 5278
AN ACT PROHIBITING HEALTH CARE INSURERS FROM RETROACTIVELY DENYING HEALTH INSURANCE CLAIMS FOR BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES.
What it does
The synopsis the General Assembly published with the bill.
To limit health care insurers from retroactively denying health insurance claims and clawing back payments for behavioral health and substance abuse services: (1) After one year from the date of such service when prior authorization for such service was issued and the health care provider was paid for such service; and (2) when the health care insurer fails to provide written notice and an explanation of retroactive denial of the claim to the health care provider for such service within one year from the date of such service, except that health care insurers are exempt from such retroactive denial and clawback of claims limitations where any such heath insurance claim is based on fraudulent activity or such service was not delivered.
Sponsors
Who carried the bill in each chamber, and who signed on. Each name leads to the member's page.
In the House of Representatives
Sponsor
Its course
January 15 to January 15, 2025, on one scale. In the top row each mark is a day something happened; taller marks are busier days.
Each committee stop sits inside its chamber.
Every action1 action on 1 day
In the House of RepresentativesJan 15 to Jan 15 · stopped0 days
Insurance and Real Estate CommitteeJan 15 to Jan 15 · stopped0 days
Text
Each version as the General Assembly printed it.
l9n doesn't hold this bill's text yet.
What happened
In l9n's words, one line for each step. Every action as the General Assembly published it is below.
In the House of Representatives Jan 15
- Jan 15Introduced and sent to Insurance and Real Estate Committee
All 1 actions, as published
- Jan 15REF. TO JOINT COMM. ONBoth houses