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IA HF2438
Bill
Status
Introduced
2/12/2026
Primary Sponsor
Austin Harris
Click for details
AI Summary
- Requires health insurers to accept/pay or deny electronic claims within 30 calendar days and paper claims within 45 calendar days.
- Prohibits insurers from retroactively denying, reducing, or recouping payment on clean claims unless they provide written evidence of misrepresentation, fraud, or duplicate submission.
- Establishes audit procedures for health carriers reviewing claims from health care providers, including requirements for written notice and documentation.
- Applies to health maintenance organizations, managed care organizations, the Medicaid program, and the Hawki children's health program.
- Creates civil penalties for violations of standards of conduct by health carriers and utilization review organizations regarding prior authorizations and peer review.
Legislative Description
A bill for an act relating to health carriers and payment of claims, audits, and standards of conduct; prior authorizations and utilization review organizations; and providing civil penalties and including applicability provisions.(See HF 2635.)
Last Action
Withdrawn. H.J. 614.
3/9/2026
Committee Referrals
Health and Human Services2/12/2026
Full Bill Text
No bill text available