HB5776 Summary

• Defines "health care benefit plan" as an insurance plan provided by any public or private medical insurance provider in the Health Care Services Lien Act.

• Requires health care professionals and providers to submit all charges to a patient's health care benefit plan before filing a lien notice if the patient provides proof of insurance within 60 days of treatment.

• Prohibits health care benefit plans from denying payment based on third-party liability and limits liens to the amount the provider would have received if charges were covered by the patient's health plan.

• Requires health care professionals and providers that recover under judgment, verdict, or settlement to pay their pro rata share of legal and administrative expenses incurred in obtaining recovery.

• Restricts collection activities to amounts not covered by health insurance, requiring providers to credit all benefits, adjustments, and write-offs against any balance owed by the patient.