Health Insurance: New Federal Help for Denied Claims
A house committee must act next: committee consideration.
This bill faces a difficult path because it creates new costs and paperwork for businesses. While the goal of helping patients is popular, the funding method usually causes a split between parties.
Scores run from -100 (strongly harmful) to +100 (strongly beneficial) for each group, combining impact, certainty, scope, and duration ratings of 1-5. How impact scoring works
Employers that sponsor single-employer health or welfare benefit plans must pay new filing fees ranging from $250 to $1,000 or more depending on plan size, and smaller plans that previously skipped annual reports must now file a notice with employee counts, funding method, and service provider details. This adds a new recurring cost and paperwork burden, though the fee cannot be paid using plan assets, so it falls on the business itself.
“$250 if the plan had fewer than 100 participants as of the close of the plan year preceding the plan year in which such report or notice is filed; ``(ii) $500 if the plan had 100 or more but fewer than 500 participants as of the close of such plan year; and ``(iii) not less than $1,000 in the case of any other plan.”
Referred to the House Committee on Education and Workforce.
Introduced in House
The bill was officially filed and given a number. It now enters the legislative queue.
Rep. Summer Lee and House Democrats introduced the Consumer Health Claim Assistance Act to help workers navigate denied health insurance claims. The bill establishes a Benefits Assistance Program within the Department of Labor, funded by annual fees on employer-sponsored health plans.
This fact-check examines claims by Rep. Mark DeSaulnier regarding healthcare coverage losses. It notes that DeSaulnier's legislative efforts, including a recent report on health claim denials, aim to address rising uninsured rates and improper insurance practices through new consumer protections.
Rep. Mark DeSaulnier announced a town hall to discuss the healthcare crisis, specifically highlighting high rates of insurance denials. The event follows the introduction of a legislative package, including the Consumer Health Claim Assistance Act, to protect consumers from wrongful denials.
No votes or related bills recorded for this bill yet.
Document Type
Congressional Bill
Official Title
Consumer Health Claim Assistance Act
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