HB 434

As reported, 5/21/2025: - Directs hospitals to file quarterly reports with the statewide data processor on cost data for common inpatient admissions, surgical procedures, and diagnostic procedures. - Requires out-of-network healthcare facilities and providers to provide information to insureds seeking treatment. - Requires healthcare facilities to provide good faith estimates and not send unpaid amounts to collections unless a line-item bill has been provided. - Prohibits facility fees from being charged for procedures that are not performed at a hospital's main campus, an inpatient facility, an ambulatory surgical facility, or a facility that includes an emergency department - Requires the State Auditor to examine cost and billing transparency at health service facilities. - Eliminates certificate of need review for rehabilitation services, rehabilitation facilities, and rehabilitation beds. - Establishes timelines for insurers to notify insureds of utilization reviews for urgent health care services, requires qualified physicians to conduct appeals of initial utilization review denials, requires insurers to post utilization review requirements on their websites before those requirements can be effective, and ensures prior utilization review results remain effective if insureds switch to a new plan with the same insurer.