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Bill

HF 4347

Quantity limits on coverage for home care nursing services prohibited, and home care nursing services defined.

2025-2026 Regular Session Introduced by Robert Bierman and 9 co-sponsors

Bill prohibits insurance plans from limiting the quantity of home care nursing services covered, requiring insurers to provide unrestricted access to defined nursing care delivered in patients' homes.

Author added Johnson, P.
#insurance-health #nursinghomesandcarefacilities
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WeVote Research Nonpartisan
Bill Summary · HF 4347

Legislative bill overview

HF 4347 prohibits insurance plans and health coverage programs from placing quantity limits on home care nursing services and establishes a clear definition of what constitutes home care nursing services. The bill essentially requires that coverage for these services cannot be restricted by visit caps, hour limits, or similar quantitative restrictions.

Why is this important

Home care nursing is critical for patients managing chronic conditions, post-operative recovery, and end-of-life care while remaining in their homes rather than institutions. Quantity limits on these services can force patients into more expensive hospital or nursing home settings, impact health outcomes, and shift costs to families. This bill addresses whether insurers can ration these services through numerical caps.

Potential points of contention

  • Insurance market impact: Insurers may argue that unlimited coverage increases premiums and healthcare costs, potentially affecting affordability for all consumers
  • Definition scope: The bill's definition of "home care nursing services" will determine coverage breadth—ambiguous language could lead to disputes over what qualifies and create implementation challenges
  • Mandate implications: Prohibiting quantity limits is a coverage mandate that could be seen as government overreach in insurance design, or conversely, as necessary patient protection depending on ideological perspective

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

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