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Bill > HB05172


CT HB05172

CT HB05172
An Act Prohibiting Health Care Providers And Clinical Laboratories From Imposing Out-of-pocket Expenses Based On Estimates Of Charges.


summary

Introduced
01/14/2025
In Committee
01/14/2025
Crossed Over
Passed
Dead
06/04/2025

Introduced Session

2025 General Assembly

Bill Summary

To prohibit any health care provider or clinical laboratory from imposing, for health care services or treatment rendered to an insured, a coinsurance, copayment, deductible or other out-of-pocket expense at the time of such service or treatment based on an estimate of charges, rather than an amount identified in the medical bill for such service or treatment.

AI Summary

This bill aims to protect insured patients from being charged out-of-pocket medical expenses based on estimated charges at the time of receiving healthcare services. Specifically, the bill prohibits healthcare providers and clinical laboratories from imposing coinsurance, copayments, deductibles, or other out-of-pocket expenses using estimated charges. Instead, these expenses must be based on the actual amount identified in the final medical bill for the specific service or treatment. This means patients would only be required to pay their share of medical costs after the exact charges are determined, rather than being asked to pay an estimated amount upfront. The goal of the legislation appears to be preventing patients from potentially overpaying for medical services at the point of care and ensuring transparency in healthcare billing practices.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Referred to Joint Committee on Insurance and Real Estate (on 01/14/2025)

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