IN HB1604 | 2025 | Regular Session
Status
Spectrum: Slight Partisan Bill (Republican 3-1)
Status: Introduced on January 21 2025 - 25% progression
Action: 2025-01-27 - Representative Shackleford added as coauthor
Pending: House Insurance Committee
Text: Latest bill text (Introduced) [PDF]
Status: Introduced on January 21 2025 - 25% progression
Action: 2025-01-27 - Representative Shackleford added as coauthor
Pending: House Insurance Committee
Text: Latest bill text (Introduced) [PDF]
Summary
Out-of-pocket expense credit. Requires a health plan to credit toward a covered individual's deductible and annual maximum out-of-pocket expenses any amount the covered individual pays directly to any health care provider for a medically necessary covered health care service if a claim for the health care service is not submitted to the health plan and the amount paid by the covered individual to the health care provider is less than the average discounted rate for the health care service paid to a health care provider in the health plan's network. Requires a health plan to: (1) establish a procedure by which a covered individual may claim a credit; and (2) identify documentation necessary to support a claim for a credit; and display information about the procedure and documentation on the health plan's website.
Title
Out-of-pocket expense credit.
Sponsors
History
| Date | Chamber | Action |
|---|---|---|
| 2025-01-27 | House | Representative Shackleford added as coauthor |
| 2025-01-21 | House | First reading: referred to Committee on Insurance |
| 2025-01-21 | House | Authored by Representative McGuire |
| 2025-01-21 | House | Coauthored by Representatives King and Morris |
