Provides for payment of claims submitted by healthcare agencies
S 3365 requires payors (like insurance companies or government programs) to pay healthcare agencies - such as licensed home care services, certified home health agencies, and long-term care programs - within specific deadlines for complete, error-free claims. Payors must pay electronic claims within 30 days and paper claims within 45 days, and if a claim is disputed, they must notify providers in writing within 15 days detailing the issues. The bill defines a "clean claim" as one fully identifying the service, patient, and provider, with all required documentation, and imposes penalties including 12% annual interest for late or improper payments. This directly affects healthcare agencies by streamlining payment processes and holding payors accountable for delays.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 27, 2025
Last action Jan 7, 2026
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
2
Key actions
0
Committee
2
Jan 7, 2026
Committee
REFERRED TO HEALTH
upper
Jan 27, 2025
Committee
REFERRED TO HEALTH
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Gustavo Rivera
DDemocratic/Working Families
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