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MS HB560

Bill

Status

Failed

4/3/2012

Primary Sponsor

Gary Chism

Click for details

Origin

House of Representatives

2012 Regular Session

AI Summary

  • Requires insurers to pay in-network health care providers directly when an insured provides written direction that benefits be paid to that provider.

  • Requires insurers to send payments for out-of-network providers via check, draft, money order, or negotiable instrument payable to both the provider and insured, requiring endorsement from both parties.

  • Prohibits out-of-network providers from billing or collecting from the insured any amount above the insurer's payment, except for deductibles, coinsurance, copayments, or noncovered services requested by the insured.

  • Establishes administrative penalties for insurers that fail to pay clean claims timely: up to $10,000 for 85-95% compliance, $10,000-$100,000 for 50-85% compliance, and $100,000-$200,000 for less than 50% compliance.

  • Effective July 1, 2012.

Legislative Description

Health insurance; provide for certain assignment of benefits by insured to health care providers.

Last Action

Died In Committee

4/3/2012

Full Bill Text

No bill text available