Bill > S2536

Introduced Session

This bill prohibits health care providers from billing patients for services provided under the early intervention services program more than one year after the service was provided, and prohibits providers from attempting to collect from a patient on a bill for early intervention services if the bill was issued more than one year after the service was provided. Nothing in the bill will prohibit a health care provider from, at any time, seeking reimbursement for the service from the patient's health benefits plan; provided that, if the health benefits plan denies the claim or provides only partial reimbursement, the health care provider will be prohibited from billing the patient for the balance of the claim if: 1) the claim was submitted to the health benefits plan more than one year after the date the service was provided; or 2) the claim was submitted to the plan within one year from the date the service was provided, but more than 18 months elapsed since the date the service was provided. The early intervention services program is a Statewide program that provides specialized services and supports, from birth through age two, to infants and toddlers experiencing physical, cognitive, communication, social, emotional, or adaptive developmental delays or disabilities. It has been suggested that some early intervention services providers have issued bills to patients years after the early intervention service was originally provided. This practice can result in administrative headaches and affordability issues for parents who are already navigating the complexities of caring for a child with special needs, as the parent then needs to negotiate with an insurance provider or find the money to cover the bill long after the child has exited the early intervention services program. It is the sponsor's intent to help these families avoid the burden of these unexpected medical bills.

AI Summary

Committee Categories

Brian Stack (D)*, 

Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee (on 02/08/2024)

Official Document