Legislation

192 records found

Legislative scorecard:

60 bills enacted | 45 bills pending | 87 bills dead

Alabama
Telephone Solicitation, SB 7, Bill status: Dead

Prohibit the knowing display of misleading caller identification information on telephone solicitations with the intent to defraud, cause harm, or wrongfully obtain anything of value. Failed.

Alabama
Telephone Solicitation, SB 95, Bill status: Dead

Prohibits the intentional use of misleading caller identification information by telephone solicitors and increases the civil penalty to $5,000 for violations. Failed in committee.

Arizona
Auto Theft Authority, SB 1012, Bill status: Dead

Changes existing funding for the auto theft authority to now require filing of an annual report with the legislature and to seek prior approval before expending any monies not previously allocated. Passed Senate on 2/18/19 to House where failed in committee.

Arkansas
Medicaid Fraud, HB 1719, Bill status: Enacted

Strengthens criminal law penalties for Medicaid fraud, allows for restitution to those defrauded and permits recovery of prosecution expenses. Passed House and Senate. Signed by Governor on 4/11/19.

Arkansas
Telephone Solicitation, SB 514, Bill status: Enacted

Regulates robocalls and spoofing. Provides violators may be held criminally liable as a Class D felony.

Arkansas
Chiropractor Solicitations, HB 1978, Bill status: Dead

Prohibits chiropractors from claiming any affiliation with an insurer or that treatment will be covered by insurance. Any "procurer" working for a chiropractor must be registered with the chiropractic board. Violations will preclude reimbursement for any services provided to anyone listed on an accident report. Passed House on 4/8/19 to Senate. Failed in Committee.

California
Patient Brokering, AB 940, Bill status: Pending

Prohibits a recovery residence, or sober home, from paying or compensating any third party to refer a patient for recovery treatment.

California
Medical Treatment Financing, SB 639, Bill status: Enacted

Makes it unlawful for a medical services licensee, or any employee or agent of that licensee, to charge for treatment based upon any credit or loan, that is extended to the patient by a third party and that is arranged for, or established in, the medical licensee's office. Passed Senate on 5/20/19 and Assembly. Signed by governor on 10/12/19.

California
Assessment Funding, AB 1679, Bill status: Pending

Increases maximum special purpose assessments to $1.36 annually per insured vehicle to fund increased investigation and prosecution of fraudulent automobile insurance claims and economic automobile theft and $0.74 annually per insured vehicle to fund the Organized Automobile Fraud Activity Interdiction Program.

California
Auto Damage Repairs, AB 1538, Bill status: Enacted

Mandates on a property damage claim an insured has the right to select the body shop doing the repair, or to not have the vehicle repaired. The bill specifically exempts insurers from making payments on claims where fraud is suspected. Passed Assembly on 4/11/19 and Senate on 7/1/19. Signed by Governor on 7/30/19.

California
Consumer Privacy, SB 561, Bill status: Pending

Expands consumer rights to bring a civil action for damages under the California Consumer Privacy Act of 2018. Specifies the Attorney General may publish materials to provide general guidance on how to comply with the act.

California
Vehicle Data Recorders, AB 1638, Bill status: Enacted

Expands the ability to secure a search warrant to download information from vehicle data recorders to investigate a public offense involving the motor vehicle resulting in death or serious bodily injury. Passed Assembly and Senate. Signed by Governor on 8/30/19.

California
Sober Homes, SB 589, Bill status: Dead

Makes it a crime to provide false or misleading statements or information about rehabilitation products, services, or locations in any marketing materials, the media, or an internet website. Passed Senate on 5/23/19 and Assembly. Vetoed by governor on 10/12/19.

California
Data Breaches, AB 1130, Bill status: Enacted

Revises the definition of personal information to add specified unique biometric data and tax identification numbers, passport numbers, military identification numbers, and unique identification numbers issued on a government document in addition to those for driver's licenses and state identification cards. Passed Assembly and Senate and signed by Governor on 10/11/19.

Connecticut
Balanced Billing, SB 327, Bill status: Dead

Requires health insurance coverage for medically necessary ambulance services at an in-network level and prohibits balanced billing for such services. Failed 3/21/19.

Connecticut
Balanced Billing, SB 329, Bill status: Dead

Requires covered health care services provided by out-of-network providers at in-network hospitals be billed at the in-network level, including an in-network level of cost sharing and prohibits balanced billing for such services. Failed 3/21/19

Delaware
Counterfeit Airbags, HB 28, Bill status: Dead

Prohibits the sale or installation of counterfeit airbags. Failed in committee.

Delaware
Patient Brokering, SB 32, Bill status: Enacted

Prohibits patient brokers being paid a fee to place insured people in treatment centers. Passed Senate on 4/18/19 and House on 6/30/19. Signed by Governor on 8/14/19.

DC
Surprise Medical Billing, B 429, Bill status: Pending

Prohibits balanced billing. Creates an arbitration process to resolve disputes, a report on the use of arbitration and a consumer rights notice regarding balance billing.

Florida
Insurance Verification Database, HB 173, Bill status: Dead

Creates a statewide data registry to verify insurance and requires law enforcement officers to access online insurance information at traffic stops and crash investigations. BILL WITHDRAWN by Sponsor.

Florida
Assignment of Benefits, SB 122, Bill status: Enacted

Places limits on AOBs. Original draft of bill failed to advance. Passed Senate Rules Committee. Amended to substitute entire bill for HB 7065. Passed House and Senate and signed by Governor on 5/23/19.

Florida
No Fault - PIP, HB 733, Bill status: Dead

Replaces the state's current PIP insurance system with liability based insurance effective 1/1/2020. Companion bill to SB 896. Failed in committee.

Florida
No-Fault - PIP, SB 896, Bill status: Dead

Replaces the state's current PIP insurance system with liability based insurance effective 1/1/2020. Companion bill to HB 733. Failed in committee.

Florida
No-Fault - PIP, SB 1052, Bill status: Dead

Replaces PIP insurance with a liability based system. Sets minimum limits for injury and property damage coverages, defines clinics eligible for payment of med-pay benefits. Changes would be effective 1/20. Failed in committee.

Florida
Assignment of Benefits, HB 7065, Bill status: Enacted

Requires specific disclosures and rescission rights in AOBs. Provides right to conduct EUOs of assignees. Allows, with restrictions, policies to prohibit AOBs and changes how attorney fees may be recovered. Passed House on 4/11/19 to Senate where bill adopted as amendment in full to replace SB 122. Passed House & Senate. Signed by Governor on 5/23/19.

Florida
Auto Glass Repairs, HB 169, Bill status: Pending

Prohibits motor vehicle repair shops or their employees from offering anything of value to a customer in exchange for making an insurance claim for motor vehicle windshield glass replacement or repair. Companion bill to SB 312. 2020 Pre-Filing.

Florida
Auto Glass Repairs, SB 312, Bill status: Pending

Prohibits motor vehicle repair shops or their employees from offering anything of value to a customer in exchange for making an insurance claim for motor vehicle windshield glass replacement or repair. Companion bill to HB 169. 2020 Pre-Filing.

Georgia
Medicaid Rx Fraud, SB 121, Bill status: Enacted

Authorizes the Attorney General's Medicaid Fraud Control Unit to access the prescription drug monitoring program data base. Passed Senate and House. Signed by governor on 5/7/19.

Georgia
Staged Accidents, HB 353, Bill status: Enacted

Makes it a felony crime for those participating in or making any claim arising from an intentionally staged motor-vehicle accident. Passed House and Senate. Signed by Governor on 4/25/19.

Hawaii
Counterfeit Airbags, HB 253, Bill status: Dead

Prohibits the manufacture, sale or installation of counter airbags. Companion bill to SB 506. Passed House on 3/5/09 to Senate where bill failed.

Hawaii
Counterfeit Airbags, SB 506, Bill status: Dead

Prohibits the manufacture, sale or installation of counterfeit airbags. Companion bill to HB 253. Companion bill passed House on 3/5/19 to Senate. Failed in committee.

Hawaii
Telephone Solicitation, H.B. 797, Bill status: Dead

Requires telecommunications carriers to block calls to residential phone lines and personal mobile phone lines made from telephone numbers that do not match any of the telephone numbers of certain excepted entities as a means to curb scam calls. Failed in committee.

Idaho
Application Fraud, HB 119, Bill status: Dead

When considering an application for, renewal, cancellation, or change in a property or casualty insurance policy an insurer may not consider the insured's inquiries or claims made to any insurer that did not result in payment. This restriction does not apply to an insurer's consideration of a claim that was the basis for a criminal or civil insurance fraud action by a state or regulatory enforcement entity. Failed in committee.

Idaho
Underwriting Guidelines, HB 178, Bill status: Dead

When considering an application for, renewal, cancellation or change in a casualty insurance policy for personal, family, or household purposes, an insurer may not consider the insured's inquiries or claims made to any insurer that did not result in payment by any insurer. However, this provision shall not apply to an insurer's consideration of a claim that was the basis for a criminal or civil insurance fraud action by any state or regulatory enforcement entity. Failed in committee.

Illinois
Aftermarket Parts, SB 2104, Bill status: Dead

No vehicle repair facility or installer may use repair specifications or procedures that are not in compliance with the original equipment manufacturer for those parts; and no vehicle repair estimate may include the use of non original equipment manufacturer aftermarket crash parts unless authorized by the customer in writing. Passed Senate on 4/12/19 to House. Failed in House Committee.

Indiana
Towing & Storage, HB 1183, Bill status: Enacted

Provides rules for emergency towing and for storage of vehicles. Guarantees rights of reasonable access for inspection and specifies payment policies. Passed by House and Senate and signed by Governor on 5/6/19.

Iowa
Fraud Bureau Funding, SB 1020, Bill status: Dead

Creates a new state treasury special fund to be known as the insurance fraud bureau special fund. All interest, fines, and penalties, collected by the department of workforce development from employers shall be paid into the fund. Moneys in the fund are then to be appropriated each fiscal year to the insurance division within the department of commerce to be used for the support and maintenance of the insurance fraud bureau.Failed.

Iowa
Fraud Bureau Authority, HB 426, Bill status: Dead

Clarifies and strengthens law enforcement authority for DOI fraud investigators. Authorizes conducting criminal background checks for public adjuster licensing. Companion bill to SB 1089. Passed House on 3/11/19 and Senate on 3/13/19 with amendments for concurrence. Failed in concurrence.

Iowa
Criminal History Checks, SB 1089, Bill status: Dead

Clarifies and strengthens law enforcement authority for DOI fraud investigators. Authorizes conducting criminal background checks for public adjuster licensing. Companion bill to HB 92. Failed.

Iowa
Workers Comp. and Public Adjusters, SB 331, Bill status: Dead

Requires a minimum of two dedicated insurance fraud bureau investigators to the investigation of suspected workers’ compensation fraud. Also requires criminal background checks on public adjusters. Bill withdrawn on 3/13/19.

Iowa
Assignments of Benefits, HB 417, Bill status: Enacted

AOB's may only list the contractor as a co-payee and must include an itemized list of all work, materials and fees, and the total cost. The AOB may be cancelled within 5 business days and the contractor may not represent the work will be covered by insurance. Enacted as SB 412.

Iowa
Assignment of Benefits, SB 412, Bill status: Enacted

AOB's may only list the contractor as a co-payee and must include an itemized list of all work, materials and fees, and the total cost. The AOB may be cancelled within 5 business days and the contractor may not represent the work will be covered by insurance. Passed Senate and House and signed by Governor on 5/1/19.

Kansas
Assignment of Benefits, SB 78, Bill status: Enacted

Provides a residential contractor may be named as a co-payee for benefits under a P&C policy. The contractor may not make assurances the claim will be covered by the policy. AOB's must contain required consumers warnings. The named insured has the right to cancel the assignment within five business days. Passed Senate and House and signed by Governor on 4/22/19.

Kansas
Criminal Penalties, HB 2213, Bill status: Dead

Strengthens the definition of "amount involved" in insurance fraud to be the greater of: The actual pecuniary harm resulting from the fraudulent insurance act; the pecuniary harm that was intended to result from the fraudulent insurance act; or the intended pecuniary harm that would have been impossible or unlikely to occur. Failed in House committee on 2/28/19.

Kansas
Insurance Fraud Penalties, HB 2177, Bill status: Enacted

Defines the "amount involved" in determining penalties for insurance fraud act violates and permits aggregating of claims to secure higher level violations. Passed House & Senate. Signed by Governor on 4/18/19.

Kentucky
Balanced Billing, SB 24, Bill status: Dead

Controls out-of-network balanced billing and requires a data base of billed health care services. Failed in committee.

Kentucky
Balanced Billing, HB 138, Bill status: Dead

Controls out-of-network balanced billing and requires a data base of billed health care services. Failed in committee.

Kentucky
Criminal Penalties, HB 151, Bill status: Enacted

Increases penalties and fines for acts of insurance fraud. Passed House and Senate and signed by the Governor on 3/26/19.

Kentucky
PBM Regulation, HB 394, Bill status: Dead

Increases licensing provisions for PBMs operating in the Commonwealth and places restrictions on PBM contracting practices for Medicaid services. Passed House on 2/22/19 to Senate. Failed in Senate committee.

Kentucky
Telephone Solicitation, HB 84, Bill status: Enacted

Prohibits misleading caller identification information or misrepresenting the origin of the telephone solicitation. Imposes jail times of 90 days to 1 year and fines of $500-$5000.00 Passed House and Senate and signed Governor on 3/26/19.

Louisiana
Public Adjusters, SB 103, Bill status: Enacted

Creates the crime of unauthorized pubic adjusting. Violators would be subject to up to 2 years of imprisonment and a $1,000.00 fine. Passed Senate and House. Signed by Governor on 6/4/19.

Louisiana
Funding, SB 199, Bill status: Enacted

Extends the insurance fraud investigation unit within the Department of Public Safety and Corrections and the insurance fraud prevention act through July 2021. Passed Senate and House. Signed by Governor on 6/11/19.

Louisiana
Auto Damage Repairs, HB 411, Bill status: Enacted

Insurers may not recommend a particular repair service without informing the insured or claimant they are under no obligation to use the recommended repair service. Passed House on 5/14/19 and Senate of 6/1/19. Signed by Governor on 6/11/19.

Maine
Telephone Solicitation , SB 89, Bill status: Enacted

Makes it an unfair trade practice for a telemarketer to misrepresent the telemarketer's phone number and prohibits the use of prerecorded or artificial voices by telemarketers. Passed House and Senate. Signed by Governor on 5/30/19.

Maine
Pharmacy Benefit Managers (PBMs) , SB 433, Bill status: Dead

Requires pharmacy benefit managers be registered by the Department of Health and Human Services; sets standards for registration including allowing to revoke, suspend, or place on probation a pharmacy benefit manager's registration for fraudulent activities or violation of state law. Failed in Senate committee.

Maine
Medicaid Fraud, SB 465, Bill status: Dead

Repeals the existing civil liability law for persons making false claims; enacts the False Claims Act to protect the state against fraudulent claims under the Medicaid program, and provides for qui tam recovery actions. Failed in committee.

Maryland
Licensing, SB 29, Bill status: Enacted

Makes continuing education mandatory for producers holding insurance licenses and public adjusters. Passed by Assembly and Senate and signed by Governor on 4/18/19.

Massachusetts
Balanced Billing, HB 931, Bill status: Pending

An insurance Carrier shall not state, communicate or include in written form false, misleading or confusing information in their explanation of benefits to insureds regarding usual and customary services, out of network balance billing, or mediation disputes between any provider and the insurer.

Massachusetts
Balanced Billing, HB 932, Bill status: Pending

Prohibits balanced billing for out-of-network services but mandates if an insured does not have the ability to control or select emergency services from an in-network provider, the insurer must pay the billed amount.

Massachusetts
Life & Health Policies, SB 643, Bill status: Pending

No company shall be barred by the passage of any period of time from asserting as a defense to a claim under any insurance policy, or as grounds for rescission, the statements contained in the life, accident or sickness insurance policy application, or any reinstatement application, were fraudulent and made with actual intent to deceive and gain coverage the applicant or insured would not otherwise have qualified for.

Massachusetts
License Plate Readers, HB 3141, Bill status: Pending

Places restrictions on the use of license plate reader data, but permits uses arising out of claims of insurance fraud or motor vehicle theft.

Michigan
PIP Reforms, SB 1, Bill status: Enacted

Seeks to reform the state PIP system, lower rates and prevent fraud through restrictions on common ownership and referrals between legal, medical and transportation services. Passed Senate and House. Signed by Governor on 5/30/19.

Michigan
Auto Insurance Verification, SB 7, Bill status: Pending

Establishes a system for online verification of evidence of automobile insurance and provides any excess funds from violation penalties shall be used to establish and maintain a statutorily created automobile insurance fraud prevention authority.

Michigan
Auto Fraud Bureau, SB 5, Bill status: Pending

Requires establishment and funding of the Michigan Automobile Insurance Fraud Authority by no later March 2020. The Authority would not be a state agency but subject to certain state rules and regulations promulgated by the bill.

Michigan
Auto Fraud Authority, HB 4202, Bill status: Pending

Requires establishment and funding of the Michigan Automobile Insurance Fraud Authority by no later March 2020. The Authority would not be a state agency but subject to certain state rules and regulations promulgated by the bill.

Michigan
Criminal Penalties, SB 295, Bill status: Pending

Modifies the Michigan Penal Code to change the definition of racketeering to include a felony violation involving insurance fraud.

Michigan
Auto Insurance Reform , HB 4397, Bill status: Enacted

Revises the state PIP system, provides for auto insurance options to lower rates and establishes a statewide anti-fraud bureau with funding. Passed House and Senate. Signed by Governor on 6/11/19.

Michigan
Fraudulent Insurance Rates, SB 500, Bill status: Pending

Any insurer knowingly including false or misleading information in a rate filing with the DOI may be liable for a civil fine not to exceed $100,000.00 to be recovered by the director and paid into the general fund.

Michigan
Counterfeit Airbags, HB4924/23, Bill status: Pending

Makes it a felony to knowingly and intentionally import, manufacture, sell, offer for sale, distribute, install, or reinstall a counterfeit airbag in a motor vehicle. HB 4923 codifies the criminal penalty.

Minnesota
Aftermarket Parts, HB 2234, Bill status: Dead

Makes it an unfair claims settlement practice to condition payment to settle a claim on the use of a repair procedure or specification that conflicts with the repair procedures and specifications recommended by the original equipment manufacturer of the vehicle. Failed in committee.

Minnesota
Vehicle Repairs, SB 2390, Bill status: Dead

Requires a "satisfactory" vehicle repair as repairs consistent with the repair procedures, specifications, and other documentation issued by the original equipment manufacturer, and prohibits use of after market parts as a basis to not proceed with claim settlement. Failed in committee.

Minnesota
Auto Damage Repairs, HB 2919, Bill status: Dead

Makes it an unfair claims settlement practice for an insurer to suggest use of a specific auto body repair shop or attempting to influence the use of any specific repair center. Failed in committee.

Missouri
Roofing Contractors, HB 170, Bill status: Dead

Provides for voluntary registration of roofing contractors. Prohibits any contractor whose license has been suspended or revoked in another state from registering. Failed.

Missouri
Health Care Fraud, HB 805, Bill status: Dead

Revokes contracts of any person reviewing, adjusting, approving, or otherwise handling claims for health care on behalf of or in connection with a medical assistance program when the person or entity commits fraud. Failed in committee.

Missouri
Roofing Contractors, SB 117, Bill status: Dead

Provides for voluntary registration of roofing contractors. Prohibits any contractor whose license has been suspended or revoked in another state from registering. Creates a separate fund for investigation of roofing fraud using the registration fees. Combined into SB 153.

Missouri
Roofing Contractors, SB 153, Bill status: Dead

Provides for voluntary registration of roofing contractors. Prohibits any contractor whose license has been suspended or revoked in another state from registering. Creates a separate fund for investigation of roofing fraud using the registration fees. Provides for website notice after a storm event occurs to inform storm area residents roofing contractors may register with the state. Failed in committee.

Montana
Restitution, HB 92, Bill status: Enacted

Updates interest rate awards on restitution orders and civil suits against those committing fraud. Passed House and Senate signed by Governor on 3/19/19.

Montana
Restitution, HB 74, Bill status: Dead

Permits the insurance commissioner, after giving reasonable notice and an opportunity for a hearing, to require a person who commits insurance fraud to make restitution, with interest, to a person who has sustained a financial loss resulting from the violation. Passed Senate and House vetoed by Governor on 4/10/19.

Montana
Rescission , SB 240, Bill status: Enacted

Strengthens the ability to rescind a policy in situations involving fraud. Passed Senate and House. Signed by Governor on 5/7/19.

Nebraska
Counterfeit Airbags, LB 7, Bill status: Enacted

Prohibits the marketing and installation of counterfeit airbags. Signed by Governor into law on 3/7/19.

Nevada
Criminal Penalties, AB 87, Bill status: Dead

Subjects those committing staged accidents to imprisonment for a minimum term of not less than 1 year and a maximum term of 20 years, and a fine of not more than $50,000. Failed in Committee.

Nevada
Aftermarket Parts, HB 173, Bill status: Dead

Restricts use of aftermarket parts to repair vehicles less than 5 years old without written consent of the owner. Body shops must provide a written statement to the vehicle owner identifying each aftermarket part intended to be used in a repair and its origin. Failed in Committee.

Nevada
Fictitious Identification, SB 155, Bill status: Dead

Makes it unlawful to possess or use fictitious personal identifying information. Violation is a felony punished by imprisonment for 1-20 year and a fine up to $100,000. Failed in committee.

New Hampshire
Fraud Reporting & Discsloure, HB 341, Bill status: Dead

Changes state law to release an insurer's letter to the DOI regarding a consumer complaint but without any attachments. Permits commissioner to set further disclosure rules. Failed to pass in House on 2/14/19.

New Hampshire
Anti-Fraud Plans, SB 64, Bill status: Enacted

Modifies current fraud plan law to allow for commissioner to request a copy of the insurer's plan. Continues possible license suspension provision for failure to enact anti-fraud plans. Passed Senate on 3/21/19 and House on 6/5/19. Signed by Governor on 7/10/19.

New Hampshire
Forged Insurance Certificates, SB 250, Bill status: Enacted

Makes issuance of a fake or counterfeit certificate of insurance a felony offense. Bill requested by the DOI. Passed Senate and House. Signed by Governor on 7/19/19.

New Jersey
Deductible & Co-Pay Waivers are Insurance Fraud, AB 468, Bill status: Pending

A waiver, rebate or payment of an insured's deductible or co-pay would be a violation of the state insurance fraud statute.

New Jersey
Insurance Fraud Act Violations, AB 2092, Bill status: Pending

Violation of New Jersey Insurance Fraud Prevention Act results in loss of motor vehicle liability insurance coverage; innocent persons may claim UM/UIM.

New Jersey
Access to Crash Reports, AB 3651, Bill status: Pending

Restricts access to traffic accident reports until 80 days afer the accident.

New Jersey
Insurance Crime Website, AB 1678, Bill status: Pending

Requires the Department of Banking & Insurance to publish on a website those convicted of insurance crimes.

New Jersey
White Collar Crime Registry, AB 315, Bill status: Pending

Creates a registery of those convicted for white collar crimes including insurance fraud.

New Jersey
RICO, AB 182, Bill status: Pending

Includes workers comp fraud above $25K as part of the state RICO law

New Jersey
Access to Crash Reports, AB 2337, Bill status: Pending

Restricts access to crash reports

New Jersey
Access to Crash Reports, SB 815, Bill status: Pending

Restricts access to traffic crash reports

New Jersey
Pain Clinic Licensure, SB 2735, Bill status: Pending

Requires licensure of pain clinics and reporting on prescribing practices. Companion bill to AB 4988.

New Jersey
Withholding of Identifcation, AB 4283, Bill status: Pending

Establishes penalty for withholding identification to hinder apprehension or prosecution.

New Jersey
Expands immunity for fraud reporting., SB 2970, Bill status: Pending

Broadens scope of information sharing and civil immunity for reporting of insurance fraud.

New Jersey
Pain Clinic Licensure, AB 4988, Bill status: Pending

Requires licensure of pain clinics and reporting on prescribing practices. Companion bill to SB 2735.

New Jersey
Pain Clinic Licensure, SB 2735, Bill status: Pending

Requires licensure of pain management clinics; establishes process to identify abnormal drug usage and prescribing practices; modifies requirements for opioid prescriptions and medication assisted treatment. Companion bill to SB 2735.

New Jersey
Health Insurance Fraud, SB 3657, Bill status: Pending

Includes self-insured health benefits plans under certain provisions of the State Insurance Fraud Prevention Act.

New Jersey
Unfair Claims Practices, SB 2144, Bill status: Pending

Increases civil liability of insurers under the Claims Fair Conduct Act and increases civil recovery amounts.

New Jersey
Unfair Claims Practices, AB 4293, Bill status: Pending

Increases civil liability of insurers under the Claims Fair Conduct Act and increases civil recovery amounts.

New Mexico
Surprise Billing, HB 207, Bill status: Enacted

Prohibits surprise and out-of-network billing by medical service providers who are not a part of a patient's service network. Companion bill to S.B. 337. Passed House on 2/28/19 to Senate. Companion bill SB 337 signed into law on 4/3/19.

New Mexico
Balanced Billing, SB 337, Bill status: Enacted

Prohibits surprise and out-of-network billing by medical service providers who are not a part of a patient's service network. Companion bill to H.B. 207. Passed House & Senate and signed by Governor on 4/3/19.

New Mexico
Balanced Billing, SB 346, Bill status: Dead

Limits a patient's liability for payment to non-participating medical providers to the amount determined by independent audits done by a new "benchmarking" organization to be selected and overseen by the DOI. Failed in committee.

New Mexico
Auto Theft Prevention Funding , HB 529, Bill status: Dead

Sets an annual fee from each authorized insurer in an amount of at least one dollar ($1.00) and not more than ten dollars ($10.00) for each motor vehicle insured. Passed House on 3/5/09. Failed in Senate committee.

New Mexico
Stolen Vehicles, HB 509, Bill status: Dead

Illegally dismantling stolen vehicles is a crime, punishable as a felony. Passed House on 3/11/19. Failed in Senate committee.

New York
Workers Compensation Audits, AB 38, Bill status: Dead

Requires WC audits every 2 years and provides criminal penalties for knowingly under-reporting, misclassifying or mis-stating information to secure WC insurance. Failed in committee.

New York
Workers Compensation, AB 552, Bill status: Dead

Requires WC audits every 2 years and provides criminal penalties for knowingly under-reporting, misclassifying or mis-stating information to secure WC insurance. Failed in committee.

New York
Medical Bill Audits, SB 873, Bill status: Dead

A health plan shall not determine an overpayment amount through the use of extrapolation except with the consent of the health care provider, except where there is a reasonable belief of fraud or intentional misconduct. Failed in committee.

New York
Medicaid Fraud, SB 995, Bill status: Dead

Creates incentives for counties to investigate and prosecute Medicaid fraud. Failed in committee.

New York
Identify Fraud, SB 1088, Bill status: Dead

Adds theft of a person's medical or health insurance information to the list of identify thefts subject to criminal prosecution. Failed in committee.

New York
Identity Fraud, AB 809, Bill status: Dead

Adds theft of a person's medical or health insurance information to the list of identify thefts subject to criminal prosecution. Failed in committee.

New York
Medicaid Fraud, SB 949, Bill status: Dead

Provides the full amount expended by a local social services district for medical assistance fraud, waste and abuse investigations via the use of data mining software shall be reimbursed by the state. Failed in committee.

New York
Storm Chaser, SB 1405, Bill status: Pending

Requires written contracts for roofing, gutter, downspout and siding contractors. Mandates disclosure of liability insurance coverage type with limits and prohibits rebates or payments of deductibles. Same as AB 7531. Passed Senate on 6/12/19 and Assembly on 6/18/19. To Governor.

New York
Staged Accidents, SB 2508, Bill status: Dead

Makes it a second degree felony to commit a staged accident. The penalty increases to a first degree felony if the staged accident causes serious physical injury or death to another person, other than a person involved in the staging. Substituted for AB 3985 as replacement bill (which passed).

New York
Fraud Reporting , AB 3027, Bill status: Dead

Any person who provides information to the Attorney General, a District Attorney or the Insurance Frauds Bureau concerning a fraudulent insurance transaction, or information about a fraudulent insurance transaction that is about to take place, may be entitled to an award of forty percent of the action or claim relating to such fraudulent action. Failed in committee.

New York
Health Care Fraud, AB 2899, Bill status: Dead

Health plans may not determine overpayments by extrapolation absent the consent of the health care provider, or a reasonable belief of fraud or intentional misconduct. Health plans may not threaten any sanction or reporting to a disciplinary body for challenging an alleged overpayment unless there is a reasonable belief of fraud or intentional misconduct. Each violation is subject to a $50,000 fine. Failed in committee.

New York
Vehicle Garaging Location Fraud , AB 4032, Bill status: Dead

Gives the superintendent of insurance authority to investigate fraud related to operating vehicles with no insurance coverage and misrepresenting the principal place where vehicles are garaged and operated. Failed in committee.

New York
Anti-Solicitation , AB 4205, Bill status: Dead

Establishes the crime of unlawful procurement of clients, patients or customers for knowingly acting as a runner, or using, soliciting, directing, hiring or employing another person to act as a runner. Failed in committee.

New York
Vehicle Insurance Fraud, AB 4347, Bill status: Dead

Gives the superintendent of insurance authority to investigate fraudulent activities involving operating motor vehicles with no insurance coverage, and misrepresenting the principal place where insured motor vehicles are garaged and operated. Failed in committee.

New York
Vehicle Inspections, AB 2809, Bill status: Dead

Allows an automobile insurer to waive the inspection of a private passenger automobile prior to providing physical damage coverage. Companion bill to SB 801. Failed in committee.

New York
Vehicle Inspections, SB 801, Bill status: Dead

Allows an automobile insurer to waive the inspection of a private passenger automobile prior to providing physical damage coverage. Companion bill to AB 2809. Failed in committee.

New York
Vehicle Inspections, AB 2812, Bill status: Dead

Authorizes insurers to allow the insured to take and submit photographs of their automobile for purposes of the issuance or renewal of a policy of automobile physical damage insurance. Companion bill to SB 810. Failed in committee.

New York
Vehicle Inspections, SB 810, Bill status: Dead

Authorizes insurers to allow the insured to take and submit photographs of their automobile for purposes of the issuance or renewal of a policy of automobile physical damage insurance. Companion bill to AB 2812. Failed in committee.

New York
Vehicle Inspections, AB 4046, Bill status: Dead

Authorizes self-submission of vehicle photographs and inspection for auto insurance for personal insurance; but excludes vehicles insured by the New York automobile insurance plan. Failed in committee.

New York
Durable Medical Equipment , SB 3510 , Bill status: Dead

Charges for durable medical equipment may not be assigned claims to a health service provider unless the provider has been approved by the National Supplier Clearinghouse as an authorized Medicare supplier. of durable medical equipment. No health service provider shall be eligible to demand or request payment from an insurer for durable medical equipment unless the make and model number of the equipment is set forth on the invoice for the equipment. Failed in committee.

New York
PIP Payments & AOB, SB 3515, Bill status: Dead

Payment of interest and attorney fees on an is overdue claim is the claimant's exclusive remedy. Failure to make timely payment or issue a denial within thirty days after proof of claim has been submitted shall not preclude the insurer from later issuing a denial or asserting a defense. A covered person may assign claims for medical expenses to a health service provider, but the assignment is valid only where coverage and compliance with policy terms by the covered person are not in dispute.

New York
Vehicle Inspections, AB 5358, Bill status: Dead

Removes the requirement for inspection of vehicles for purposes of physical damage coverage. Failed in committee.

New York
Vehicle Inspections, SB 3635, Bill status: Dead

Vehicle inspection requirements shall not apply to a personal automobile physical damage insurance policy written on an agreed or guaranteed value basis. Failed in committee.

New York
Auto Insurance Reporting, AB 5606, Bill status: Dead

Requires insurers to file detailed financial and claims reports annually by April 1st. Reports shall then be made available for public inspection. Failed in committee.

New York
PIP Fraud, AB 5803, Bill status: Dead

Strengthens criminal penalties for those committing fraud, updates rules regarding submission of medical billing and time period for an insurer to reject payment. Prohibits the use of "runners" to secure patients for treatment. Failed in committee.

New York
Staged Accidents, AB 6210, Bill status: Dead

Insurers may deny coverage to persons in staged accidents. Innocent persons may be entitled to recover under their own policy. Failed in committee. Similar bill (AB 3985) passed.

New York
Storm Chaser, AB 7531, Bill status: Dead

Requires written contracts for roofing, gutter, downspout and siding contractors. Mandates disclosure of liability insurance coverage type with limits and prohibits rebates or payments of deductibles. Substituted as SB 1405 which passed House & Senate.

New York
Staged Accidents, AB 3985, Bill status: Enacted

Makes participating in a staged accident a felony crime with increased penalties if anyone is injured or killed in the accident. Passed the Assembly on 5/6/19 and Senate on 6/3/19. Signed Governor on 8/8/19.

North Carolina
Criminal Penalties & Cybersecurity , SB 322, Bill status: Dead

Redefines insurance fraud, empowers the Insurance Commissioner with more authority to investigate and prosecute insurance fraud and also adopts the NAIC Cybersecurity Model Act. Failed in committee.

North Carolina
Counterfeit Airbags, HB 546, Bill status: Enacted

Prohibits the import, manufacture, sale, offer of sale, installation, or reinstallation of counterfeit and nonfunctional airbags. Companion bill to SB 589. Passed House and Senate. Signed by Governor on 7/22/19.

North Carolina
Counterfeit Airbags, SB 589, Bill status: Dead

Prohibits the import, manufacture, sale, offer of sale, installation, or reinstallation of counterfeit and nonfunctional air bags. Companion bill to HB 546 which passed House & Senate.

North Carolina
Arson, SB 631, Bill status: Dead

Changes reporting and investigation of arson fires to the Insurance Commissioner and increases criminal penalties if a public responder is injured. Failed in committee.

North Carolina
Fraud Act Updates & Criminal Penalties , HB 222, Bill status: Dead

Redefines "Fraudulent insurance act", increases the Commissioner's investigation powers, requires fraud warnings and increases criminal penalties. Passed House on 4/30/19 to Senate. Failed in committee.

North Carolina
Telephone Solicitation, HB 724, Bill status: Enacted

Prohibits the use of misleading telephone identification methods for telephone solicitations by voice or text. Passed by House and Senate and signed by governor on 8/1/19.

North Dakota
Criminal Penalties , SB 2077, Bill status: Enacted

Redefines insurance fraud criminal classifications for increased prosecution and sets statutes of limitations for charges. Passed Senate 1/9/19 and House on 3/11/19 and signed by Governor on 3/14/19.

North Dakota
Medicaid Fraud, SB 2347, Bill status: Enacted

Creates a Medicaid fraud control unit within the attorney general's office. Provides both criminal and civil penalties and recovery for actions involving Medicaid fraud. Passed Senate and House, signed by Governor on 4/8/19.

North Dakota
Public Adjuster Licensing, HB 1219, Bill status: Enacted

Mandates licensure and written contracts for public adjusters. Prohibits payment or reimbursement for insurance deductibles by third parties. Passed House & Senate, signed by Governor on 4/8/19.

North Dakota
Counterfeit Airbags, HB 1143, Bill status: Enacted

Prohibits the marketing and installation of counterfeit airbags. Passed House and Senate. Signed by Governor on 3/26/19.

Ohio
Roofing Contractors, SB 177, Bill status: Pending

Requires roofing, down spout and siding contractors to register with the state and provide proof of insurance. Permits denial of registration for those shown to have previously committed fraud or had a licensure violation. All contracts must disclose contractor address, insurance coverage and provide for a 3 day right to cancel.

Ohio
Health Care Data Sharing, SB 9, Bill status: Pending

Requires health plan issuers to release claim information to group health plan policyholders. All data must be privacy protected.

Oklahoma
Workers Compensation , HB 2367, Bill status: Enacted

An employer or insurance carrier has the right to audit or question the reasonableness and necessity of medical treatment contained in a bill for treatment Limits payments for compound medications and prohibits physician dispensing directly. Passed House and Senate. Signed by Governor on 5/28/19.

Oklahoma
Workers Compensation, SB 701, Bill status: Dead

Places a $50,000.00 cap on non-compliance fines, set restrictions on injury reviews and requires posting of bonds for appeals to the state supreme court. Allows filing of claims in multiple states so long as benefits are not duplicated. Passed Senate on 3/11/19 and House on 4/25/19 referred to conference on amendments. Concurrence failed.

Oklahoma
Adjuster Licensing, SB 1010, Bill status: Enacted

Any licensed adjuster or producer shall report to the Insurance Commissioner any administrative or criminal action taken against them in another jurisdiction or by another governmental agency in Oklahoma within thirty days of the final disposition of the matter. Passed Senate on 3/14/19 and House on 4/25/19. Signed by Governor on 5/2/19.

Pennsylvania
Patient Brokering, HB 1018, Bill status: Pending

Makes it a 3rd degree felony to solicit or receive any commission, benefit, bonus, rebate, kickback, bribe or engage in a split-fee arrangement, in any form to induce the referral of a patient to any health care provider, facility or for drug and alcohol treatment or assisted living residence.

Pennsylvania
Patient Brokering, SB 713, Bill status: Pending

Makes it a crime to solicit, offer or pay a commission, benefit, bonus, rebate, kickback or bribe, in cash or in kind, or engage in a split-fee arrangement for referral of a patient to or from a health care provider, health care facility, drug and alcohol treatment facility, drug and alcohol recovery house or assisted living residence.

Pennsylvania
Surprise Billing, SB 822, Bill status: Pending

Provides for protection of consumers of health care coverage against surprise balance bills for emergency services and other specified covered health care services.

Rhode Island
Patient Brokering, HB 5092, Bill status: Dead

Prohibits paying a commission, benefit, bonus, rebate, kickback, or bribe, directly or indirectly, in cash or in kind, or engaging in any split-fee arrangement to induce the referral of a patient to or from a health care provider or health care facility. Imposes fines from $50-500,000.00 for violations. Failed in committee.

Rhode Island
Vehicle Inspections, SB 849, Bill status: Enacted

Requires actual physical inspection within 3 business days of vehicle damage exceeding $2,500 and 4 days for re-inspections. Investigation or adjustment may not be made solely on photos. Passed Senate on 6/13/19 and House on 6/20/19. Signed by Governor on 7/2/19.

Rhode Island
Automobile Damage Repairs, HB 6101, Bill status: Enacted

Mandates physical inspections within 3 days of notice for damaged vehicles with more than $2,500 of damage. Photos may not be used to conduct the appraisal. Passed House on 6/12/19 and Senate on 6/25/19. Signed by Governor on 7/2/19.

South Carolina
Anti-Fraud Funding, SB 229, Bill status: Dead

Increases funding for the insurance fraud division from $200K to $400K annually. Failed in committee.

Tennessee
Out-of-Network Billing, HB 1342, Bill status: Enacted

Requires notice to an insured concerning the potential for out of network service and billing from physicians at least three days before the insured first receives services. Passed by House and Senate. Signed by Governor on 4/30/19.

Texas
Caller ID, HB 101, Bill status: Enacted

Creates a criminal offense for false caller identification information displays. Passed House on 4/2/19 and Senate on 5/22/19. Signed by Governor on 6/15/19.

Texas
Health Care, SB 1377, Bill status: Dead

Makes the commission of health care fraud a felony crime. Identical bill to HB 2894. Passed under house bill and sent to Governor and enacted as HB 2894.

Texas
Health Care, HB 2894, Bill status: Enacted

Makes the commission of health care fraud a felony crime. Identical bill to SB 1377. Passed House and Senate. Signed by Governor on 6/2/19.

Texas
Roofing Contractors, HB 2101, Bill status: Dead

Provides for the registration of and a code of ethics for re-roofing contractors. Creates a data base for registered contractors. Program to be overseen by an advisory board. Exemptions are made in declared disasters for licensed out-of-state roofers. Failed in the House.

Texas
Towing & Storage, HB 3434, Bill status: Dead

Mandates release of personal property and commercial cargo from towed vehicles. Provides specific rules for the towing and storage of vehicles and prohibits payments directly or indirectly as an incentive to secure towing work. Identical bill to SB 1671. Failed in committee.

Texas
Towing & Storage, SB 1671, Bill status: Dead

Mandates release of personal property and commercial cargo from towed vehicles. Provides specific rules for the towing and storage of vehicles and prohibits payments directly or indirectly as an incentive to secure towing work. Identical bill to HB 3434. Failed in committee.

Texas
Funding, HB 2816, Bill status: Enacted

Provides increased compensation funding for fraud investigators in the Texas DOI. Passed House on 5/7/19 and Senate on 5/22/19. Signed by Governor on 6/14/19.

Texas
Medicaid Fraud, HB 2004, Bill status: Enacted

In defined Medicaid fraud actions the case may be dismissed only if the court and the attorney general consent in writing to the dismissal and state their reasons for consenting. Passed House and Senate. Signed by Governor on 5/21/19.

Texas
Deductible Waivers, HB 2102, Bill status: Enacted

Prohibits promises to pay or cover a policy deductible under a property repair contract. Provides for consumer warnings in contracts and criminal penalties for violations. Passed House on 5/3/19 and Senate on 5/22/19. Signed by Governor on 6/14/19.

Utah
Fraudulent Acts, HB 55, Bill status: Enacted

Expands and increases the definition of fraudulent insurance acts. Prohibits licensure for insurance sales to those convicted of fraud. Passed House and Senate and signed by Governor on 3/25/19.

Vermont
Surprise Billing, SB 31, Bill status: Enacted

Prohibits surprise billing for emergency medical services provided out-of network and requires health insurers to maintain up-to-date provider network information on their websites. Passed Senate and House. Signed by Governor on 6/10/19.

Virginia
Balanced Billing, HB 1714, Bill status: Dead

Sets payment for out-of-network emergency services at the fair market value normally billed and accepted for such services. Failed in committee on 2/5/19.

Virginia
Counterfeit Airbags, HB 2143, Bill status: Enacted

Prohibits the sale or installation of counterfeit airbags. Passed House and Senate. Signed by Governor on 3/14/19.

Virginia
Balanced Billing, SB 1362, Bill status: Dead

Prohibits an out-of-network provider from balance billing a covered person for the costs of an ancillary service when an in-network provider referred the covered person to the out-of-network provider. Companion bill to HB 2543. Failed in Committee on 1/31/19.

Virginia
Fraud Disclosure, HB 2344, Bill status: Enacted

Authorizes the Commissioner to provide to insurers and anti-fraud organizations vehicle information, including the owner's name and address, descriptive data and title, registration, vehicle activity data, and driver information including name, license number and classification, date of birth, and address information for each driver under the age of 22 licensed in the Commonwealth of Virginia. Passed House and Senate and signed by Governor on 3/18/19.

Virginia
Balanced Billing, HB 2543, Bill status: Dead

Prohibits an out-of-network provider from balance billing a covered person for the costs of an ancillary service when an in-network provider referred the covered person to the out-of-network provider. Companion bill to SB 1362. Failed in committee on 2/5/19.

Virginia
Balanced Billing, SB 1763, Bill status: Dead

Provides any benefits billed with respect to services rendered in an emergency department of a hospital for an out-of-network health care provider be limited to an amount equal to the greatest of the amount negotiated with in-network providers for the emergency service or, if more than one amount is negotiated, the median of these amounts. Failed in Committee on 2/19/19.

Virginia
Public Adjusters, SB 1415, Bill status: Enacted

Provides public adjusting includes soliciting an insured; expands the list of activities in which any person other than a licensed public adjuster is prohibited from engaging to include preparing, completing, or filing an insurance claim on behalf of an insured or acting on behalf of an insured in negotiating settlement of a claim. Passed Senate and House and signed by Governor on 3/19/19.

Virginia
Public Adjuster Licensing, SB 1222, Bill status: Enacted

Requires fingerprinting and federal background checks to be performed on all persons seeking a public adjuster's license. Licenses must be renewed every 2 years. Passed House & Senate. Signed by Governor on on 3/21/19.

Washington
Balanced Billing, HB 1065, Bill status: Enacted

Prohibits balanced and surprise billing for out-of-network services for care at in-network medical treatment centers. Passed House and Senate. Signed by Governor on 5/21/19.

Washington
Balanced Billing, SB 5031, Bill status: Enacted

Prohibits balanced and surprise billing for out-of-network services for care at in-network medical treatment centers. Passed House & Senate. Signed by Governor on 5/21/19.

Washington
Fraud Bureau Funding, HB 1069, Bill status: Dead

Creates an insurance fraud surcharge account to increase funding for state anti-fraud efforts and investigation. Failed in committee.

Washington
Balanced Billing, SB 5699, Bill status: Dead

Bans balanced billing to consumers enrolled in fully insured, regulated insurance plans and plans offered to public employees. Removes consumers from balanced billing disputes and requires out-of-network providers and carriers negotiate out-of-network payments in good faith. Failed in committee.

Washington
Examinations Under Oath, SB 5703, Bill status: Dead

EUO provisions must be contained in the contract. EUO requests must be material to the claim, and made within ninety days or receiving a proof of loss. Insureds must be provided an EUO transcript and insurers have 60 days for claims acceptance or denial, or to provide a written reservation of rights. Failed in committee.

West Virginia
Medicaid Fraud, HB 2867, Bill status: Enacted

Transfers the Medicaid Fraud Control Unit to the Attorney General's office. Companion bill to SB 318 which passed and was signed by Governor.

West Virginia
Medicaid Fraud, SB 318, Bill status: Enacted

Transfers the Medicaid Fraud Control Unit to the Attorney General's office. Companion bill to HB 2867. Passed Senate and House signed by Governor on 3/25/19.

Wisconsin
Surprise Medical Billing, SB 313, Bill status: Pending

Limits out-of-network payments for emergency medical services to the same amount an insured person would have paid for in-network rate services.

Wisconsin
Public Adjusters, SB 329, Bill status: Pending

Mandates public adjuster registration with the DOI every 2 years. Requires written contracts with disclosures and limits fees to 10% of recovery if the policy limit is paid within 5 days or arises from a catastrophic loss. Companion bill is AB 357.

Wisconsin
Public Adjusters, AB 357, Bill status: Pending

Mandates public adjuster registration with the DOI every 2 years. Requires written contracts with disclosures and limits fees to 10% of recovery if the policy limit is paid within 5 days or arises from a catastrophic loss. Companion bill is SB 329.

Wyoming
Medicaid Fraud, SF 85, Bill status: Enacted

Establishes the Medicaid fraud control unit within the office of the attorney general; requires access to Medicaid records; creates criminal penalties relating to Medicaid fraud and authorizes exclusion or suspension of Medicaid providers committing fraud. Signed by governor on 2/26/19.

Federal
Medicaid Fraud, HB 233, Bill status: Pending

Amends Title XIX of the Social Security Act; clarifies the authority of state Medicaid fraud and abuse control units to investigate and prosecute cases of Medicaid patient abuse and neglect in any setting.

Federal
Telephone Solicitation, SB 151, Bill status: Pending

Increases FCC oversight of "robocalls" and permits up to $10K in fines per call. Allows for up to 3 years for investigation after a call. Would encourage better information sharing in the federal government agencies and with state investigators.

Federal
Robocalls, H.R. 3375, Bill status: Pending

Mandates the FCC submit to Congress within 12-18 months detailed regulations to protect consumers from robocalls and automated text messaging, including penalties for violations. Passed House on 7/24/19.

Federal
Adjuster Licensing, HB 4037, Bill status: Pending

Requires uniformity and reciprocity for states licensing independent adjusters, including investigation services.