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SB 361

Revise laws relating to health insurance claims submitted to the department of public health and human insurances

2025 Regular Session Introduced by Mike Yakawich

SB 361 streamlines health insurance claims, ensuring timely processing and clearer communication for policyholders, benefiting insurers and healthcare providers alike.

Chapter Number Assigned
#healthcareservices(seealso:health) #insurance
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Bill Summary · SB 361

Summary of SB 361: Revise Laws Relating to Health Insurance Claims

Bill Information:
- Bill Number: SB 361
- Title: Revise laws relating to health insurance claims submitted to the department of public health and human insurances
- Status: Chapter Number Assigned
- Introduced: November 22, 2024
- Classification: Bill
- Subject: Health Care Services, Insurance

Purpose and Intent

The primary purpose of SB 361 is to revise existing laws governing health insurance claims that are submitted to the Department of Public Health and Human Services. This bill aims to streamline the claims process, enhance efficiency, and ensure that health insurance claims are handled in a timely and effective manner.

Key Provisions

  • Claims Processing: The bill introduces new guidelines for the submission and processing of health insurance claims, which may include standardized forms and procedures to reduce administrative burdens.
  • Timeliness Requirements: SB 361 establishes specific timelines within which claims must be processed and paid, ensuring that beneficiaries receive timely reimbursements for health services.
  • Transparency Measures: The legislation may include provisions that require insurers to provide clearer information to policyholders regarding the status of their claims and the reasons for any delays or denials.

Who Would Be Affected

  • Health Insurance Providers: Insurers will need to adapt their claims processing systems to comply with the new regulations outlined in the bill.
  • Healthcare Providers: Hospitals, clinics, and other healthcare entities will benefit from a more efficient claims process, potentially leading to faster payments for services rendered.
  • Policyholders: Individuals with health insurance will experience improved transparency and timeliness in the handling of their claims, enhancing their overall experience with the insurance system.

Legislative Timeline

  • Introduced: November 22, 2024
  • Key Legislative Actions:
    • March 1, 2025: Hearing held in the Senate.
    • March 6, 2025: Passed the Senate after the third reading.
    • March 21, 2025: Hearing held in the House.
    • April 1, 2025: Concurred in the House after the third reading.
    • April 16, 2025: Signed by the Governor.
    • April 17, 2025: Chapter number assigned.

Conclusion

SB 361 represents a significant step towards improving the efficiency and transparency of health insurance claims processing in the state. By establishing clear guidelines and timelines, the bill aims to enhance the experience for both healthcare providers and policyholders, ultimately contributing to a more effective healthcare system.

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

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