summary
Introduced
01/28/2025
01/28/2025
In Committee
05/06/2025
05/06/2025
Crossed Over
04/10/2025
04/10/2025
Passed
08/15/2025
08/15/2025
Dead
Signed/Enacted/Adopted
08/15/2025
08/15/2025
Introduced Session
104th General Assembly
Bill Summary
Amends the Managed Care Reform and Patient Rights Act. Provides that a health care plan shall provide annually to enrollees and prospective enrollees, upon request, a statement of all basic health care services and all specific benefits and services mandated to be provided to enrollees by State law or administrative rule, highlighting any newly enacted State law or administrative rule. Provides that this requirement can be fulfilled by providing enrollees the most up-to-date accident and health checklist submitted to the Department of Insurance, reflecting statutory health care coverage compliance by the health care plan. Requires the Office of Consumer Health Insurance to post in a prominent location on the Department's publicly accessible website an annual report on the development and implementation of federal, State, and local laws, regulations, and other governmental policies and actions that pertain to the adequacy of health care plans, facilities, and services in the State and summary of all State health insurance benefit related legislation enacted in the prior calendar year that includes, at minimum, a link to the Public Act, the statutory citation, the subject, a brief summary, and the effective date. Amends the Uniform Health Care Services Benefit Information Card Act. Adds a health benefit plan offering dental coverage to the list of plans required to issue a health care benefit information card. Specifies health care benefit information cards may be electronic or physical. Requires uniform health care benefit information to display on the back of the card a statement indicating whether the plan is self-insured or fully funded and if the plan is subject to regulation by the Department of Insurance. Makes other changes.
AI Summary
This bill amends two existing laws to improve health insurance transparency and consumer information. It requires health care plans to provide enrollees with an annual statement of basic health care services and benefits mandated by state law, with a specific focus on highlighting newly enacted regulations. The bill also mandates that the Office of Consumer Health Insurance create and post an annual public report detailing federal, state, and local health care policy developments, including a summary of all health insurance benefit legislation passed in the previous calendar year. Additionally, the bill expands requirements for health care benefit information cards, now including dental plans and specifying that these cards can be physical or electronic. The new card requirements include displaying whether a plan is self-insured or fully funded and if it is subject to regulation by the Department of Insurance. These changes aim to provide consumers with more comprehensive and accessible information about their health insurance coverage, making it easier for individuals to understand their benefits, rights, and the specifics of their health care plans.
Committee Categories
Business and Industry
Sponsors (10)
Laura Fine (D)*,
Bob Morgan (D)*,
Christopher Belt (D),
Sara Feigenholtz (D),
Graciela Guzmán (D),
Hoan Huynh (D),
Gregg Johnson (D),
Lindsey LaPointe (D),
Camille Lilly (D),
Julie Morrison (D),
Last Action
Public Act . . . . . . . . . 104-0375 (on 08/15/2025)
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