Health insurance-reimbursement of overpayments.

Plain English Breakdown

Checked against official source text during the last sync.

Health Insurance Overpayment Reimbursement

This law sets a two-year time limit for health care providers to request reimbursement of overpaid health insurance claims, with exceptions for fraudulent claims.

What This Bill Does

• Creates a rule that health care providers must ask for money back from health insurance companies within two years if the company paid too much on a claim.
• Does not allow anyone to ask for more than two years after the payment was made unless there is proof of fraud.
• Applies only to overpayments made by health insurance companies starting July 1, 2024.

Who It Names or Affects

• Health care providers who receive overpaid claims from health insurance companies.
• Insurance companies that pay out too much on a claim and need to recover the extra money.

Terms To Know

Overpayment

When an insurance company pays more than it should for a medical bill or service.

Reimbursement

Getting back the extra money that was paid out by mistake.

Limits and Unknowns

• The law does not apply to overpayments made before July 1, 2024.
• It is unclear how this will affect existing cases of overpayment before the effective date.

Official Summary Text

Bill Summary - 24LSO-0030

Bill No.:

HB0015

Effective:

7/1/2024

LSO No.:

24LSO-0030

Enrolled Act No.:

HEA No. 0020

Chapter No.:

30

Prime Sponsor:

Joint Labor, Health & Social Services Interim Committee

Catch Title:

Health insurance-reimbursement of overpayments.

Has Report:

No

Subject:

Health insurance.

Summary/Major Elements:

This act requires an action or request for reimbursement of any overpayment of a health insurance claim to a health care provider pursuant to any health insurance contract to be brought not more than two (2) years after the date the claim was paid.

The time limit does not apply to fraudulent claims.

This act applies to health insurance overpayments made on or after July 1, 2024.

The above summary is not an official publication of the Wyoming Legislature and is not an official statement of legislative intent.

While the Legislative Service Office endeavored to provide accurate information in this summary, it should not be relied upon as a comprehensive abstract of the bill.

Current Bill Text

24LSO-0030

ORIGINAL House

Bill No
.
HB0015

ENROLLED ACT NO. 20,

HOUSE OF REPRESENTATIVES

SIXTY-SEVENTH LEGISLATURE OF THE STATE OF WYOMING
2024 Budget Session

AN ACT relating to health insurance; specifying a time limit to seek reimbursement for health insurance overpayments; and providing for an effective date.

Be It Enacted by the Legislature of the State of Wyoming:

Section 1
.

W.S. 26
‑
15
‑
137 is created to read:

26
‑
15
‑
137.

Time limit to seek reimbursement for health insurance overpayments.

An action or request for reimbursement of any overpayment of a health insurance claim to a health care provider pursuant to any health insurance contract shall be brought not more than two (2) years after the date the claim was paid. No insurer, assignee of the insurer, or other person, whether acting for himself or another in connection with a health insurance transaction, shall make any claim or seek recovery for reimbursement of any overpayment to a health care provider pursuant to any health insurance contract more than two (2) years after the date the claim was paid, unless the claim was fraudulent.

Section 2
.

This act shall apply to health insurance overpayments made on or after the effective date of this act.

Section 3
.

This act is effective July 1, 2024
.

(END)

Speaker of the House

President of the Senate

Governor

TIME APPROVED: _________

DATE APPROVED: _________

I hereby certify that this act originated in the House.

Chief Clerk

1