Proposed H.B. No. 5453
Session Year 2023
 


AN ACT PROHIBITING HEALTH CARE INSURERS FROM RETROACTIVELY DENYING HEALTH INSURANCE CLAIMS FOR BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES.

To prohibit 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.

Introduced by:
Rep. Gary A. Turco, 27th Dist.
Sen. Rick Lopes, 6th Dist.

 New today  2-4 days old  5 days & older
   Text of Bill
 Proposed Bill  [doc]
  View or Add Notes to HB-5453

Add Notes to HB-5453

Go To My Bills


This bill is in My Bills.
Do you wish to go to My Bills?

Co-sponsors for Amendment LCO:

Bill History

 Date Action Taken
 1/17/2023Referred to Joint Committee on Insurance and Real Estate

NOTE: Please direct all inquiries regarding the status of bills to the Office of the House Clerk and/or Senate Clerks' Office.