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Bill

Bill

HB 390

Prohibit health plans from requiring providers to collect copays

136th Legislature (2025-2026) Introduced by Jean Schmidt

HB 390 prohibits insurers from requiring providers to collect patient copayments upfront, shifting cost collection to post-service billing between insurers and patients.

Referred to committee
1
WeVote Research Nonpartisan
Bill Summary · HB 390

Legislative bill overview

HB 390 would prohibit health insurance plans from requiring healthcare providers to collect copayments from patients at the point of service. Instead, patients would be billed directly by insurers or providers after care is rendered. The bill targets the current practice where insurers contractually obligate in-network providers to collect patient cost-sharing obligations upfront.

Why is this important

This addresses a real friction point in healthcare access: patients without immediate cash on hand may delay or avoid necessary care due to upfront copay requirements, even with valid insurance coverage. Conversely, providers argue current collection practices protect insurers from absorbing costs. The policy change could meaningfully affect both patient behavior and provider cash flow management, particularly for low-income patients.

Potential points of contention

  • Provider burden and cash flow: Providers currently rely on upfront copay collection to ensure they receive cost-sharing amounts; shifting to post-care billing could increase uncollected debt and administrative costs for medical practices
  • Insurance industry pushback: Health plans designed payment models around immediate collection; they may argue deferred collection increases claim processing complexity and default rates
  • Implementation complexity: The bill would require renegotiation of thousands of provider contracts and significant IT system changes across insurers and healthcare systems

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

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