HB 1271: Payment of health claims.

Official summary

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

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

Sponsors by party (alphabetical): Democratic 2 · Republican 6

“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 4, 2026Public Law 88
2. March 4, 2026Signed by the Governor
3. February 27, 2026Signed by the President Pro Tempore
4. February 27, 2026Signed by the President of the Senate
5. February 26, 2026House concurred with Senate amendments; Roll Call 391: yeas 87, nays 0
6. February 26, 2026Signed by the Speaker
7. February 25, 2026Motion to concur filed
8. February 25, 2026Returned to the House with amendments
9. February 24, 2026Third reading: passed; Roll Call 248: yeas 46, nays 1
10. February 23, 2026Amendment #4 (Brown L) prevailed; voice vote
11. February 23, 2026Second reading: amended, ordered engrossed
12. February 19, 2026Pursuant to Senate Rule 68(b); reassigned to Committee on Rules and Legislative Procedure

Showing 12 most recent of 31 actions. Full history