Limits the lookback period for insurance overpayment recovery from health care providers to twelve months
Bill A 3365 limits the timeframe insurance companies have to recover overpayments from healthcare providers. It reduces the "lookback period" from the current 24 months to 12 months after the original payment was received. This means health plans must initiate overpayment recovery efforts within one year. However, this 12-month limit does not apply if the overpayment recovery is based on suspected fraud, intentional misconduct, abusive billing, or if it's initiated by a self-insured plan or government program. This bill directly affects how health insurance companies and healthcare providers manage financial discrepancies.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 27, 2025
Last action Jan 7, 2026
Maddy AI version diff · 1 comparison
What changed between versions
A3365
→
A3365A
·
3 edits
MINOR
This bill amends the insurance law to shorten the time limit for health plans to recover overpayments from providers. Previously, plans had up to 24 months to pursue recovery; this change reduces that window to 12 months. The bill also updates the bill's sponsor list and adds new sponsors to the introduction.
Scope change
The bill's scope regarding the recovery timeline is narrowed, applying a stricter 12-month limit instead of the previous 24-month limit for most overpayment cases.
TIMELINE
Reduced the maximum lookback period for initiating overpayment recovery efforts from 24 months to 12 months after the original payment was received.
TECHNICAL
Added four new sponsors (Lunford, Epstein, and Brabenec) to the list of bill introducers.
Updated the bill title to reflect its amended status as 'A3365--A'.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
4
Key actions
2
Committee
2
Amendments
2
Jan 7, 2026
Committee
REFERRED TO INSURANCE
lower
May 20, 2025
Lower · Passed
PRINT NUMBER 3365A
lower
May 20, 2025
Lower · Passed
AMEND AND RECOMMIT TO INSURANCE
lower
Jan 27, 2025
Committee
REFERRED TO INSURANCE
lower
1 primary · 11 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Charles Lavine
DDemocratic
Co
Al Stirpe
DDemocratic
Co
Alec Brook-Krasny
RRepublican/Conservative
Co
Anna Kelles
DDemocratic/Working Families
Co
Harvey Epstein
DDemocratic
Co
Jen Lunsford
DDemocratic/Working Families
Co
Jo Anne Simon
DDemocratic
Co
Judy Griffin
DDemocratic
Co
Karl Brabenec
RRepublican
Co
Matt Simpson
RRepublican/Conservative/Independence
Co
Nader Sayegh
DDemocratic
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