Bill
S 5045
Bill S 5045 limits copayments and coinsurance for physical and occupational therapy, making essential services more affordable for patients and ensuring insurance compliance.
Bill Number: S 5045
Title: Relates to copayment and coinsurance charged for physical and occupational therapy services
Status: Committed to Rules
Introduced: February 18, 2025
Classification: Bill
Bill S 5045 aims to regulate the copayment and coinsurance amounts that can be charged to patients for physical and occupational therapy services. The intent of the bill is to ensure that patients have access to necessary therapeutic services without facing excessive financial burdens.
Copayment and Coinsurance Limits: The bill proposes to establish specific limits on the copayment and coinsurance amounts that insurance providers can charge for physical and occupational therapy services. This is intended to make these essential services more affordable for patients.
Insurance Provider Compliance: Insurance companies will be required to comply with the new limits set forth in the legislation, ensuring that patients are not charged more than the established amounts.
Transparency Requirements: The bill may include provisions for increased transparency in billing practices related to therapy services, allowing patients to better understand their financial responsibilities.
Patients: Individuals requiring physical and occupational therapy services will benefit from reduced out-of-pocket costs, making it easier for them to access necessary care.
Healthcare Providers: Physical and occupational therapists may see changes in how they bill for services, as insurance companies adjust to comply with the new copayment and coinsurance limits.
Insurance Companies: Insurers will need to modify their policies and billing practices to align with the new regulations, which may involve administrative adjustments.
This bill is related to several prior-session bills, including:
- S 5764
- S 28
- S 2319
- S 4870
- S 4321
- S 3751
- S 3562
- S 1470
- A 6484 (companion bill)
Bill S 5045 represents a significant step towards making physical and occupational therapy services more accessible and affordable for patients. By regulating copayment and coinsurance amounts, the bill seeks to alleviate financial barriers to necessary healthcare services. As it progresses through the legislative process, stakeholders, including patients, healthcare providers, and insurance companies, will be closely monitoring its developments.
Compiled from official sources — confirm details with the bill’s official record.
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