HB 25-1033: Medicaid Third-Party Liability Payments

Official summary

Abstract published by the legislature (via Open States). Text as published by the legislature; reproduced verbatim.

The act requires third-party payers to reimburse the department of health care policy and financing (state department) for health-care items and services rendered to a medicaid member regardless of whether prior authorization was obtained. The act requires third-party payers to respond to an inquiry from the state department regarding a claim for payment no later than 60 days after receiving the state department's inquiry. The third party must respond either by paying the claim or issuing a written denial of the claim to the state department. (Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.) (Note: This summary applies to this bill as enacted.)

Sponsors

Sponsors by party (alphabetical): Democratic 26 · Republican 1

“Support” is shown only as formal sponsorship recorded by the legislature. Roll-call votes are available on the official bill page.

Recent official actions

1. March 7, 2025Governor Signed
2. February 28, 2025Sent to the Governor
3. February 27, 2025Signed by the President of the Senate
4. February 26, 2025Signed by the Speaker of the House
5. February 12, 2025Senate Third Reading Passed - No Amendments
6. February 11, 2025Senate Second Reading Passed - No Amendments
7. February 6, 2025Senate Committee on Health & Human Services Refer Unamended to Senate Committee of the Whole
8. January 28, 2025Introduced In Senate - Assigned to Health & Human Services
9. January 23, 2025House Third Reading Passed - No Amendments
10. January 22, 2025House Second Reading Passed - No Amendments
11. January 16, 2025House Second Reading Laid Over Daily - No Amendments
12. January 14, 2025House Committee on Health & Human Services Refer Unamended to House Committee of the Whole

Showing 12 most recent of 13 actions. Full history