Bill > S607

This bill aims to reduce the financial burden of surprise medical bills for patients. It requires health insurance carriers to pay a reasonable rate, not less than the non-participating provider rate, for emergency services and services provided by non-participating providers at participating facilities. This ensures that patients do not incur greater out-of-pocket costs than they would have with a participating provider. The bill also prohibits non-participating providers from billing or charging patients directly, except for applicable copayments, coinsurance, or deductibles. Additionally, the bill requires non-participating providers to perform an eligibility check and obtain written consent from the patient before providing services, disclosing that the provider is out-of-network and the estimated costs, so that the patient can make an informed decision to seek care from a participating provider instead.

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https://malegislature.gov/Bills/191/S607