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Bill

HB 1341

Health Insurance - Appeals and Adverse Decisions - Call Centers, Notification Requirements, and Required Survey

2025 Regular Session Introduced by Harry Bhandari and 8 co-sponsors

Bill requires health insurers to establish accessible call centers, improve adverse decision notifications, and conduct mandatory customer satisfaction surveys for appeals processes.

Withdrawn by Sponsor
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WeVote Research Nonpartisan
Bill Summary · HB 1341

Legislative bill overview

HB 1341 would establish new requirements for health insurance appeals processes, including mandated call center accessibility, improved notification standards for adverse coverage decisions, and mandatory customer satisfaction surveys. The bill aims to strengthen consumer protections when individuals dispute insurance claim denials or coverage limitations.

Why is this important

Insurance appeals are critical when patients face coverage denials for necessary medical care. Clearer notification requirements and accessible call centers directly affect whether patients can effectively challenge adverse decisions, potentially influencing whether they receive needed treatment. Better data collection through surveys would help identify systemic problems in appeals processes.

Potential points of contention

  • Insurance industry costs: Call center staffing, notification system upgrades, and survey administration represent compliance expenses that insurers may pass to consumers through higher premiums
  • "Accessibility" definition: The bill's specifics on call center staffing levels, wait times, and language access options are unclear and could create compliance disputes or inadequate standards if not detailed
  • Survey utility and burden: Mandatory surveys may generate low response rates or unclear data; insurers argue existing complaint mechanisms already provide feedback without additional administrative overhead

Compiled from official sources — confirm details with the bill’s official record.

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