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Bill

A 9281

Requires medical insurers to permit patients to assign their payments

2025 Regular Session Introduced by Michaelle Solages

Requires medical insurers to allow patients to assign their insurance payments to a designated recipient (like a provider), enabling flexible payment arrangements.

REFERRED TO INSURANCE
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WeVote Research Nonpartisan
Bill Summary · A 9281

Legislative Summary: Bill A 9281

Overview

  • Bill number: A 9281
  • Title: Requires medical insurers to permit patients to assign their payments
  • Status: REFERRED TO INSURANCE
  • Introduced: November 21, 2025
  • Classification: bill
  • Legislative Actions: 2025-11-21 – REFERRED TO INSURANCE

Purpose and Intent

This bill would require medical insurers to permit patients to assign their insurance payments. In practice, “assignment of payments” typically allows a patient to designate another party (such as a healthcare provider or another entity) to receive payments that would otherwise be paid directly to the patient. The bill’s stated purpose, as reflected in the title, is to authorize such assignments by patients, potentially enabling more flexible payment arrangements between patients, providers, and insurers.

Key Provisions (Notes)

The detailed text of the bill is not provided in the information available here. As a result, the following provisions are not confirmed and would be defined in the bill’s actual language. If enacted, typical areas a bill like this would address include:
- Scope of payments eligible for assignment (e.g., reimbursements for covered services, patient refunds, other insurer payments).
- Authorized assignees (e.g., healthcare providers, third-party billers, or lenders) and any limits on who can be designated.
- Process and form of assignment (e.g., notice requirements, consent, revocation rights for the patient).
- Protections for patients (e.g., prohibitions on assignment to payers not disclosed, anti-coercion measures, privacy considerations).
- Limitations and restrictions (e.g., caps on assignment, impact on patient recourse for disputes, timing of payments).
- Enforcement and remedies (e.g., penalties for noncompliance by insurers, complaint mechanisms).
- Interaction with existing insurance contracts, network arrangements, and payer-provider agreements.

Who Would Be Affected

  • Patients: would have a mechanism to direct insurance payments to a designated party.
  • Medical insurers: would be required to recognize and process assignment requests.
  • Healthcare providers and other designated entities: could be the recipients of assigned payments.
  • Insurers’ administrative and claims-processing systems: may need updates to support assignment handling, notification, and auditing.

Procedural and Timeline Aspects

  • The bill has been introduced and referred to the Insurance committee for consideration (as of November 21, 2025).
  • No further legislative actions are listed in the provided information. If passed by the committee and chamber, it would proceed to floor votes and the other legislative house, followed by potential gubernatorial action, depending on the jurisdiction’s process.

What to Watch

  • The specific language in the bill will clarify the exact scope, eligible recipients, patient protections, and implementation timeline.
  • How insurers, providers, and patient advocates respond to the assignment framework during committee hearings.
  • Any amendments that shape practical implementation, privacy safeguards, and enforcement mechanisms.

If you’d like, I can tailor this summary to a specific state (if A 9281 refers to a particular jurisdiction) or update it once the bill’s text and committee amendments are published.

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

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