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Committee adopts amendment to HB 4,028 to narrow insurer/CCO audit window and advances the bill
Summary
The House Committee on Behavioral Health adopted dash‑5 to HB 4,028, cutting the claims‑audit look‑back period from five years to three and removing an interim effective restriction; the committee unanimously advanced the bill to the floor and rescinded a prior referral to Ways and Means.
On Feb. 12 the House Committee on Behavioral Health adopted a dash‑5 amendment to House Bill 4,028, narrowing the audit look‑back period insurers and coordinated care organizations may use when auditing behavioral‑health provider reimbursement claims.
Staff explained HB 4,028 (carried by committee members identified in the transcript as Harvick and Nos—transcript spelling varies) imposes requirements and restrictions on audits of behavioral‑health provider reimbursement claims beginning 01/01/2027. Staff said the dash‑5 amendment reduces the period after payment when an audit may be conducted from five years to three and removes an "effective 91 days after" clause so the change would not disrupt mid‑contracting. Staff reported a minimal fiscal impact and no revenue impact.
Representative Edwards moved to adopt the dash‑5 amendments dated 02/11/2026; roll call recorded unanimous approval and the motion passed. Edwards then moved HB 4,028 as amended to the floor with a due‑pass recommendation and moved to rescind the subsequent referral to the Joint Committee on Ways and Means; the committee voted unanimously and the bill was sent to the floor with Representative Harbick named carrier in the transcript.
Next steps: HB 4,028 will proceed to the floor; the committee rescinded the prior referral to Ways and Means per the motion recorded at the meeting.
