HB 5172 Connecticut House · 2025 Regular Session

AN ACT PROHIBITING HEALTH CARE PROVIDERS AND CLINICAL LABORATORIES FROM IMPOSING OUT-OF-POCKET EXPENSES BASED ON ESTIMATES OF CHARGES.

HB 5172 prohibits healthcare providers and clinical laboratories from requiring insured patients to pay coinsurance, copayments, or deductibles at the time of service based on estimated charges. Instead, such out-of-pocket costs must be based solely on the final amount listed in the actual medical bill for the service. The bill directly affects patients receiving insured healthcare services by preventing unexpected upfront payments tied to preliminary estimates. It requires providers to wait for the finalized bill before collecting these costs, aiming to reduce surprise medical bills.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 14, 2025 Last action Jan 14, 2025
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Committee
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Jan 14, 2025
Committee
REF. TO JOINT COMM. ON Insurance and Real Estate
lower
1 primary · 0 co-sponsors

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P
Photo of Gary Turco
Gary Turco
DDemocratic
CT
27