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HB 4028Imposes requirements and restrictions on insurer and coordinated care organization audits of claims for reimbursement submitted by behavioral health treatment providers.

Congress · introduced 2026-01-14

<b>Digest: The Act limits how insurers, OHA and CCOs may conduct audits. The Act adds new information that some carriers must report to DCBS. (Flesch Readability Score: 62.7).</b> [<i>Digest: The Act limits how insurers, OHA and CCOs may conduct audits. The Act adds new information that some carriers must report to DCBS. The Act takes effect 91 days after session ends. (Flesch Readability Score: 66.4).</i>] Imposes requirements and restrictions on insurer and coordinated care organization audits of claims for reimbursement submitted by behavioral health treatment providers. Becomes operative on January 1, 2027. Adds information that certain carriers must annually report to the Department of Consumer and Business Services regarding compliance with behavioral health parity requirements. [<i>Takes effect on the 91st day following adjournment sine die.</i>].

Latest action: In Senate Committee

Sponsors

Action timeline

  1. · state_lower First reading. Referred to Speaker's desk.
  2. · state_lower Referred to Behavioral Health with subsequent referral to Ways and Means.
  3. · state_lower Public Hearing held.
  4. · state_lower Work Session held.
  5. · state_lower Recommendation: Do pass with amendments, be printed A-Engrossed, and subsequent referral to Ways and Means be rescinded.
  6. · state_lower Subsequent referral to Ways and Means rescinded by order of the Speaker.
  7. · state_lower Second reading.
  8. · state_lower Third reading. Carried by Harbick. Passed.
  9. · state_upper First reading. Referred to President's desk.
  10. · state_upper Referred to Health Care.
  11. · state_upper Public Hearing held.
  12. · state_upper In committee upon adjournment.

Text versions

No text versions on file yet — same ingest as the action timeline populates these. Each version has direct links to the XML / HTML / PDF at govinfo.gov.

Who matters

Members ranked by combined influence on this bill: role (sponsor 5 / cosponsor 1), capped speech count from the Congressional Record, and recorded-vote engagement.

#MemberRoleSpeechesVotedScore
1Harbick, Darin (R, state_lower OR-12)sponsor05
2Nosse, Rob (D, state_lower OR-42)sponsor05
3Boice, Court (R, state_lower OR-1)cosponsor01
4Bunch, Matt (R, state_lower OR-51)cosponsor01
5Marsh, Pam (D, state_lower OR-5)cosponsor01
6Owens, Mark (R, state_lower OR-60)cosponsor01
7Pham, Hai (D, state_lower OR-36)cosponsor01
8Rieke Smith, Sue (D, state_lower OR-26)cosponsor01
9Skarlatos, Alek (R, state_lower OR-4)cosponsor01
10Smith, David Brock (R, state_upper OR-1)cosponsor01
11Walters, Jules (D, state_lower OR-37)cosponsor01

Predicted vote

Aggregated from: actual roll-call votes (when present) → sponsor → cosponsor → party median (predicts YES when ≥25% of the caucus sponsored/cosponsored). Each row labels its confidence tier so you can see why a position was predicted.

0 predicted yes (0%) · 543 predicted no (100%) · 0 unknown (0%)

By party: · R: 0 yes / 277 no · D: 0 yes / 263 no · I: 0 yes / 3 no

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