This bill establishes new requirements for health care facility licensees and practitioners regarding the refund of overpayments made by patients. It creates a new section, 408.12, which mandates that licensees must refund any overpayment to the patient within 30 days of determining that an overpayment occurred. The bill defines "tenders charges for reimbursement" as the act of filing a claim for reimbursement with government-sponsored programs or private insurers. Additionally, it specifies that licensees who fail to comply with this requirement may face administrative fines under section 408.813.
Furthermore, the bill introduces section 456.0625, which imposes similar refund obligations on health care practitioners and their billing departments, requiring them to refund overpayments within the same timeframe. Violations of this section will be grounds for disciplinary action under section 456.072, which has been amended to include failure to comply with the new refund requirements. The bill is set to take effect on January 1, 2026.