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Bill > HB05172
CT HB05172
CT HB05172An Act Prohibiting Health Care Providers And Clinical Laboratories From Imposing Out-of-pocket Expenses Based On Estimates Of Charges.
summary
Introduced
01/14/2025
01/14/2025
In Committee
01/14/2025
01/14/2025
Crossed Over
Passed
Dead
06/04/2025
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)
bill text
bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=HB05172&which_year=2025 |
| BillText | https://www.cga.ct.gov/2025/TOB/H/PDF/2025HB-05172-R00-HB.PDF |
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