Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Lawmakers weigh bill to limit surprise medical debt, audits and insurer clawbacks
Summary
Rep. McGuire’s HB 12‑71 would require hospitals to provide written notice of payment assistance, limit retroactive insurer recoupments and prohibit certain retroactive downcoding; providers and patient advocates largely supported the bill while insurers asked for balanced timelines and concrete claims examples.
Representative McGuire introduced House Bill 12‑71 as a four‑part bill to increase fairness, transparency and predictability in health‑care payments. She said the bill would require hospitals to provide written notice of payment assistance programs and post signage in common languages, prohibit insurers from retroactively reducing reimbursement for CPT codes without notice, limit audit/recoupment requests to the earlier of 180 days after the claim was paid or the number of days the provider had to submit the claim…
Already have an account? Log in
Subscribe to keep reading
Unlock the rest of this article — and every article on Citizen Portal.
- Unlimited articles
- AI-powered breakdowns of topics, speakers, decisions, and budgets
- Instant alerts when your location has a new meeting
- Follow topics and more locations
- 1,000 AI Insights / month, plus AI Chat
