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CS/HB 1351: Savings and Out-of-pocket Expenses in Health Insurance

GENERAL BILL by Health & Human Services Committee ; Melo ; (CO-INTRODUCERS) Rizo ; Snyder

Savings and Out-of-pocket Expenses in Health Insurance; Requires certain licensed facilities & physicians to provide specific pricing & cost-obligation information to patients; requires health insurer to apply payment for service that nonpreferred provider provided to insured toward insured's deductible & out-of-pocket maximum as if service had been provided by preferred provider, if specific conditions are met.

Effective Date: 7/1/2023
 Last Action: 5/5/2023 House - Died on Second Reading Calendar
Bill Text: PDF

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  • Bill History

    Date Chamber Action
    3/2/2023 House • Filed
    3/7/2023 House • 1st Reading (Original Filed Version)
    3/9/2023 House • Referred to Healthcare Regulation Subcommittee
    • Referred to Health & Human Services Committee
    • Now in Healthcare Regulation Subcommittee
    3/30/2023 House • Added to Healthcare Regulation Subcommittee agenda
    4/3/2023 House • Favorable by Healthcare Regulation Subcommittee
    • Reported out of Healthcare Regulation Subcommittee
    • Now in Health & Human Services Committee
    4/6/2023 House • Added to Health & Human Services Committee agenda
    4/13/2023 House • Added to Health & Human Services Committee agenda
    4/17/2023 House • Favorable with CS by Health & Human Services Committee
    4/18/2023 House • Reported out of Health & Human Services Committee
    • Laid on Table under Rule 7.18(a)
    • CS Filed
    • 1st Reading (Committee Substitute 1)
    4/19/2023 House • Bill referred to House Calendar
    • Added to Second Reading Calendar
    5/5/2023 House • Died on Second Reading Calendar

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  • CS/HB 1351, Committee Substitute 1 (Current Bill Version) Posted 4/18/2023 at 1:26 PM

    Bill Text:   PDF
    Analyses:   None

    Citations - Statutes (7)

    Citation Catchline Location in Bill Location In Bill Help
    395.107 Facilities; publishing and posting schedule of charges; penalties. Page 1 (pdf)
    395.301 Price transparency; itemized patient statement or bill; patient admission status notification. Page 3 (pdf)
    458.323 Itemized patient billing. Page 3 (pdf)
    459.012 Itemized patient statement. Page 4 (pdf)
    460.41 Itemized patient billing. Page 5 (pdf)
    461.009 Itemized patient billing. Page 6 (pdf)
    627.6471 Contracts for reduced rates of payment; limitations; coinsurance and deductibles. Page 6 (pdf)

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  • HB 1351, Original Filed Version Posted 3/2/2023 at 12:29 PM

    Bill Text:   PDF
    Analyses:   Healthcare Regulation Subcommittee (Post-Meeting) 4/3/2023 (pdf)
    Health & Human Services Committee (Post-Meeting) 4/18/2023 (pdf)

    Committee Amendments (2)

    Amendment Sponsor Filed Last Committee Action Format
    843653 - Strike All Amendment
    Remove everything after the enacting clause and insert:     		Melo 4/10/2023
    10:26 AM     		Withdrawn Prior to Consideration
    4/17/2023     		PDF
    405027 - Strike All Amendment
    Remove everything after the enacting clause and insert:     		Melo 4/14/2023
    6:15 PM     		Adopted without Objection
    4/17/2023     		PDF

    Citations - Statutes (6)

    Citation Catchline Location in Bill Location In Bill Help
    627.6387 Shared savings incentive program. Page 2 (pdf)
    627.6471 Contracts for reduced rates of payment; limitations; coinsurance and deductibles. Page 5 (pdf)
    627.65613 Page 8 (pdf)
    627.6648 Shared savings incentive program. Page 9 (pdf)
    641.31 Health maintenance contracts. Page 12 (pdf)
    641.31076 Shared savings incentive program. Page 14 (pdf)

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