HB 1271 IN Became Law
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Summary
Requires a hospital to: (1) disclose information concerning payment assistance programs; (2) post signs concerning the programs in specified locations of the hospital; and (3) make information concerning the programs available to individuals through the hospital's patient portal. Requires a hospital to make a reasonable effort to notify individuals of available payment assistance programs before beginning a collection action against the individual. Prohibits the use of downcoding in a specified manner. Prohibits a provider from using an automated process, system, or tool to submit a health benefits claim without the review of a provider or other person involved in the development of the claim for submission. Prohibits an insurer that issues a policy of accident and sickness insurance (insurer) and a health maintenance organization from retroactively reducing the reimbursement rate for any CPT code. Sets forth limitations on the time frame in which an insurer and a health maintenance organization: (1) may request repayment of an overpayment, adjust a subsequent claim, recoup a paid claim, or retroactively audit a paid claim; and (2) is required to correct a payment error to a provider. Provides that if an insurer or a health maintenance organization recoups payment from a provider due to an error in coordination of benefits, the provider may submit a claim for the same services to the appropriate insurer or health maintenance organization.
Sponsors (4)
- Julie McGuire Republican · author
- Liz Brown Republican · sponsor
- Michael Crider Republican · sponsor
- Tyler Johnson Republican · sponsor
4 coauthors / cosponsors
- Lori Goss-Reaves Republican · coauthor
- Martin Carbaugh Republican · coauthor
- Victoria Garcia Wilburn Democratic · coauthor
- Lonnie Randolph Democratic · cosponsor
Action history (31)
- Jan 6, 2026 Authored by Representative McGuire · lower
- Jan 6, 2026 First reading: referred to Committee on Insurance · lower
- Jan 8, 2026 Representative Goss-Reaves added as coauthor · lower
- Jan 12, 2026 Representative Garcia Wilburn added as coauthor · lower
- Jan 13, 2026 Representative Campbell added as coauthor · lower
- Jan 20, 2026 Committee report: amend do pass, adopted · lower
- Jan 22, 2026 Representatives Goss-Reaves, Garcia Wilburn, Campbell removed as coauthors · lower
- Jan 27, 2026 Representatives Goss-Reaves, Carbaugh, Garcia Wilburn added as coauthors · lower
- Jan 29, 2026 Second reading: amended, ordered engrossed · lower
- Jan 29, 2026 Amendment #4 (McGuire) prevailed; voice vote · lower
- Feb 2, 2026 Third reading: passed; Roll Call 179: yeas 85, nays 0 · lower
- Feb 2, 2026 Senate sponsors: Senators Brown L, Crider, Johnson T · lower
- Feb 3, 2026 Referred to the Senate · lower
- Feb 5, 2026 First reading: referred to Committee on Health and Provider Services · upper
- Feb 12, 2026 Committee report: amend do pass, adopted · upper
- Feb 12, 2026 Pursuant to Senate Rule 68(b); reassigned to Committee on Appropriations · upper
- Feb 19, 2026 Committee report: amend do pass, adopted · upper
- Feb 19, 2026 Senator Randolph added as cosponsor · upper
- Feb 19, 2026 Committee report: Rules Committee Report; adopted voice vote · upper
- Feb 19, 2026 Pursuant to Senate Rule 68(b); reassigned to Committee on Rules and Legislative Procedure · upper
- Feb 23, 2026 Second reading: amended, ordered engrossed · upper
- Feb 23, 2026 Amendment #4 (Brown L) prevailed; voice vote · upper
- Feb 24, 2026 Third reading: passed; Roll Call 248: yeas 46, nays 1 · upper
- Feb 25, 2026 Returned to the House with amendments · upper
- Feb 25, 2026 Motion to concur filed · lower
- Feb 26, 2026 Signed by the Speaker · lower
- Feb 26, 2026 House concurred with Senate amendments; Roll Call 391: yeas 87, nays 0 · lower
- Feb 27, 2026 Signed by the President of the Senate · upper
- Mar 4, 2026 Signed by the Governor · executive
- Mar 4, 2026 Public Law 88 · lower
- Feb 27, 2026 Signed by the President Pro Tempore · upper
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