Committee Report

April 29, 2025

 

H. 3089

 

Introduced by Rep. Pope

 

S. Printed 4/29/25--H.

Read the first time January 14, 2025

 

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The committee on House Medical, Military, Public and Municipal Affairs

To whom was referred a Bill (H. 3089) to amend the South Carolina Code of Laws by adding Section 44-7-395 so as to require hospitals and other medical providers to file an insurance claim with a patient's, etc., respectfully

Report:

That they have duly and carefully considered the same, and recommend that the same do pass:

 

S.H. DAVIS for Committee.

 

 

statement of estimated fiscal impact

Explanation of Fiscal Impact

State Expenditure

This bill specifies that healthcare providers who have provided treatment or services to an insured patient for a personal injury must file a claim with the patient's insurer within thirty days of providing the treatment or service. A failure to file a timely claim will result in the provider's forfeiture of the right to be reimbursed by the insurer.

 

This bill will have no expenditure impact on The Department of Health and Human Services, the Department of Insurance, the Department of Mental Health, the Public Employee Benefit Authority, or the Vocational Rehabilitation Department as it does not materially alter the agencies current practices.

 

For information, the Department of Health and Human Services reports that, currently, healthcare providers occasionally delay submission of claims for up to one year in hope of receiving a greater reimbursement from liability insurance carriers. This bill may result in a quicker resolution and recovery for such cases.

 

 

Frank A. Rainwater, Executive Director

Revenue and Fiscal Affairs Office

 

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A bill

 

TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING SECTION 44-7-395 SO AS TO REQUIRE HOSPITALS AND OTHER MEDICAL PROVIDERS TO FILE AN INSURANCE CLAIM WITH A PATIENT'S HEALTH INSURER FOR REIMBURSEMENT OF MEDICAL COSTS AND EXPENSES.

 

Be it enacted by the General Assembly of the State of South Carolina:

 

SECTION 1.  Article 3, Chapter 7, Title 44 of the S.C. Code is amended by adding:

 

    Section 44-7-395.  Hospitals, healthcare facilities, and other medical providers who have provided treatment or another service to an insured patient for a personal injury must file a claim with the patient's health insurer within thirty days of providing the treatment or service. Failure to submit the claim in accordance with this section constitutes a forfeiture of the provider's right to reimbursement.

 

SECTION 2.  This act takes effect upon approval by the Governor.

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