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SB 1130: Insurance Claims Payments to Health Care Providers

GENERAL BILL by Massullo

Insurance Claims Payments to Health Care Providers; Prohibiting payment adjudicators from downcoding health care services under certain circumstances; specifying that payment adjudicators are solely responsible for certain violations of law; requiring certain utilization review entities to only use a certain prior authorization form; revising the definition of the term “claim”, etc.

Effective Date: 7/1/2026
Last Action: 1/12/2026 Senate - Referred to Banking and Insurance; Appropriations Committee on Agriculture, Environment, and General Government; Fiscal Policy
Bill Text: Web Page | PDF

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  • Bill History

    Date Chamber Action
    1/5/2026 Senate • Filed
    1/12/2026 Senate • Referred to Banking and Insurance; Appropriations Committee on Agriculture, Environment, and General Government; Fiscal Policy

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  • SB 1130, Original Filed Version (Current Bill Version) Posted 1/5/2026 at 4:48 PM

    Bill Text:   Web Page | PDF
    Analyses:   None

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 1015 Insurance Claims Payments to Health Care Providers Cassel Similar Last Action: 1/5/2026 H Filed

    Citations - Statutes (5)

    Citation Catchline Location in Bill Location In Bill Help
    395.1065 Criminal and administrative penalties; moratorium. Page 55 (pdf)
    627.4193 Page 3 (pdf)
    627.42392 Prior authorization. Page 8 (pdf)
    627.6131 Payment of claims. Page 21 (pdf)
    641.3155 Prompt payment of claims. Page 39 (pdf)

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