Pennsylvania 2023-2024 Regular Session

Pennsylvania House Bill HB1867

Introduced
11/30/23  
Refer
11/30/23  
Refer
6/3/24  
Report Pass
6/4/24  
Engrossed
6/4/24  

Caption

In regulation of insurers and related persons generally, providing for payment choice; and imposing penalties.

Impact

The implications of HB 1867 on state laws are significant as it reinforces consumer protection measures within the health care financial framework. By prohibiting restrictions on payment methods, it enhances the operational latitude of health care providers, possibly leading to expedited payment processes. The introduction of penalties for violations, which can reach up to $10,000 for willful breaches and aggregate yearly caps on fines, reflects a stringent approach to compliance. This enforcement mechanism is expected to deter practices that might disadvantage health care providers or limit their payment options.

Summary

House Bill 1867 aims to amend the Pennsylvania Consolidated Statutes regarding the regulation of health insurance, specifically focusing on payment choices for health care providers. The bill mandates that health insurers and their contracted vendors cannot limit payment methods exclusively to credit card payments, thereby fostering flexibility in transactions. Additionally, the bill requires insurers to thoroughly inform health care providers about all available payment options and any associated fees, ensuring more transparent financial interactions in health care services. This regulation is expected to improve payment efficiency and provider satisfaction.

Sentiment

General sentiment surrounding HB 1867 appears largely positive, particularly among health care providers and advocacy groups who favor transparency and flexibility in payment structures. Supporters argue that by mandating clear communication regarding payment options and fees, the bill enhances consumer rights and adopts a more equitable approach towards fiduciary responsibilities in health care. However, some concern exists regarding the administrative burden this may impose on health insurers tasked with modifying their billing protocols to comply with the new regulations.

Contention

Notable points of contention revolve around the balance of power between health insurers and health care providers, specifically how the financial dynamics of care provision may shift. Critics may argue that while fostering payment choice is beneficial, the additional regulatory requirements could lead to increased operational costs for insurers, which might be passed on to consumers through higher premiums. The enforcement structure, as established in the bill, also raises questions about the thoroughness and fairness of penalty assessments, which will need careful consideration to ensure equitable application.

Companion Bills

No companion bills found.

Previously Filed As

PA HB1664

In regulation of insurers and related persons generally, providing for payment choice and for electronic notice of insurance practices; and imposing

PA HB660

In regulation of insurers and related persons generally, providing for pet insurance; and imposing penalties.

PA HB690

In regulation of insurers and related persons generally, providing for group market provisions; and imposing penalties.

PA HB545

In regulation of insurers and related persons generally, providing for group market provisions; and imposing penalties.

PA SB739

In regulation of insurers and related persons generally, providing for telemedicine.

PA HB1512

In regulation of insurers and related persons generally, providing for telemedicine.

PA SB608

In regulation of insurers and related persons generally, providing for association health plans.

PA SB504

In regulation of insurers and related persons generally, providing for association health plans.

PA SB901

In regulation of insurers and related persons generally, providing for disclosure of addiction treatment coverage and for administrative penalties.

PA SB877

In regulation of insurers and related persons generally, providing for disclosure of addiction treatment coverage and for administrative penalties.

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