Proposed H.B. No. 5278
Session Year 2025

AN ACT PROHIBITING HEALTH CARE INSURERS FROM RETROACTIVELY DENYING HEALTH INSURANCE CLAIMS FOR BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES.

To limit health care insurers from retroactively denying health insurance claims and clawing back payments for behavioral health and substance abuse services: (1) After one year from the date of such service when prior authorization for such service was issued and the health care provider was paid for such service; and (2) when the health care insurer fails to provide written notice and an explanation of retroactive denial of the claim to the health care provider for such service within one year from the date of such service, except that health care insurers are exempt from such retroactive denial and clawback of claims limitations where any such heath insurance claim is based on fraudulent activity or such service was not delivered.

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• SB01376 - AN ACT REDUCING BLOOD ALCOHOL LIMITS FOR IMPAIRED DRIVING AND BOATING, CONCERNING INFORMATION REGARDING POLICE PHLEBOTOMY TRAINING AND STUDYING THE IMPLEMENTATION OF ELECTRONIC WARRANT TECHNOLOGY.
• SB01443 - AN ACT CONCERNING THE PROVISION OF SURVIVOR'S BENEFITS AND HEALTH INSURANCE COVERAGE TO FAMILY MEMBERS OF CORRECTION OFFICERS, COURT SUPPORT SERVICES DIVISION INVESTIGATORS, CRIMINAL JUSTICE DIVISION INVESTIGATORS AND OFFICE OF THE CHIEF PUBLIC DEFENDER INVESTIGATORS KILLED IN THE LINE OF DUTY.
• SB01530 - AN ACT CONCERNING A TECHNICAL CHANGE TO A PROVISION CONCERNING GOVERNMENT ADMINISTRATION AND THE PROVISION OF REPRODUCTIVE AND GENDER-AFFIRMING HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF LOCATION.

  Behavioral health services 

 

• HB06189 - AN ACT APPROPRIATING FUNDS TO THE DEPARTMENT OF VETERANS AFFAIRS FOR ADVERTISING CAMPAIGNS TO PROMOTE AWARENESS OF MENTAL AND BEHAVIORAL HEALTH RESOURCES.
• HB06834 - AN ACT CONCERNING THE DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES' RECOMMENDATIONS REGARDING VARIOUS REVISIONS TO MENTAL HEALTH AND ADDICTION SERVICES STATUTES.
• HB06951 - AN ACT CONCERNING CHILDREN'S BEHAVIORAL HEALTH SERVICES.
• HB06979 - AN ACT CONCERNING THE DEPARTMENT OF PUBLIC HEALTH'S RECOMMENDATIONS REGARDING PHYSICIAN RECRUITMENT.
• HB07023 - AN ACT CONCERNING MEDICAID REIMBURSEMENT FOR SUBSTANCE ABUSE COACHES AND MENTAL HEALTH COUNSELORS UNDER A PEER SUPPORT TREATMENT MODEL.
• HB07049 - AN ACT CONCERNING THE RECOMMENDATIONS OF THE OFFICE OF THE CHILD ADVOCATE REGARDING THE INFANT MORTALITY REVIEW PROGRAM.
• HB07069 - AN ACT CONCERNING BEHAVIORAL HEALTH ASSESSMENTS OF POLICE OFFICERS.
• HB07109 - AN ACT CONCERNING IMPLEMENTING CERTAIN RECOMMENDATIONS OF THE TRANSFORMING CHILDREN'S BEHAVIORAL HEALTH POLICY AND PLANNING COMMITTEE AND ABUSE INVESTIGATIONS INVOLVING BEHAVIORAL ANALYSTS.
• HB07156 - AN ACT CONCERNING THE DEPARTMENT OF DEVELOPMENTAL SERVICES' RECOMMENDATIONS REGARDING VARIOUS REVISIONS TO DEVELOPMENTAL SERVICES STATUTES.
• HB07157 - AN ACT CONCERNING VARIOUS REVISIONS TO THE PUBLIC HEALTH STATUTES.
• HB07158 - AN ACT CONCERNING THE SECURE TRANSMISSION OF MINOR PATIENT SAFETY PLANS TO SCHOOLS BY HEALTH CARE PROVIDERS.
• HB07255 - AN ACT CONCERNING JUDICIAL BRANCH OPERATIONS AND PROCEDURES AND THE DUTIES OF JUDICIAL BRANCH PERSONNEL.
• SB00823 - AN ACT LIMITING RECOVERY OF CLAIMS FOR BEHAVIORAL HEALTH CONDITIONS.
• SB00824 - AN ACT REQUIRING BEHAVIORAL HEALTH PARITY.
• SB01047 - AN ACT REQUIRING THE CERTIFICATION OF HOME HEALTH CARE PROVIDERS WHO PROVIDE BEHAVIORAL HEALTH SERVICES.
• SB01064 - AN ACT CONCERNING ADVANCED PRACTICE REGISTERED NURSE SCOPE OF PRACTICE.
• SB01251 - AN ACT IMPLEMENTING THE GOVERNOR'S RECOMMENDATIONS CONCERNING A DRIVER TRAINING PROGRAM FOR PERSONS WITH DISABILITIES, LEGISLATIVE OVERSIGHT OF MEDICAID STATE PLAN AMENDMENTS AND PENALTIES FOR VIOLATING TIMELY WHEELCHAIR REPAIR STANDARDS.
• SB01311 - AN ACT CONCERNING THE RECOMMENDATIONS OF THE DEPARTMENT OF CHILDREN AND FAMILIES.