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Committee advances bill tightening insurer prompt‑pay windows for providers, setting Jan. 1, 2027 effective date
Summary
Senate Bill 465, which shortens insurer payment deadlines for clean electronic claims, adds preauthorization triggers and an 18‑month recoupment window for dental providers, was reported as amended; sponsors said it modernizes claims processing and protects providers’ cash flow.
The committee reported Senate Bill 465 as amended, a measure that tightens prompt‑payment deadlines for insurers to health‑care providers, adds a preauthorization payment trigger and creates an 18‑month recoupment window for dental service claims.
Gary Evans, deputy executive counsel to the governor, summarized changes: the bill adds a 10‑day preauthorization payment trigger, clarifies that timelines apply to "clean electronic claims," tightens pharmacy payment deadlines, and sets the bill’s effective date to Jan. 1, 2027. Sponsors and health‑care association representatives said the changes address provider cash‑flow concerns and modernize the statute.
Committee members adopted multiple amendment sets (including technical clean‑ups and an amended effective date) and reported the bill as amended by unanimous consent.
What’s next: SB 465 will proceed as reported; staff said further discussions could follow on fraud‑prevention language and operational details for recoupment.
