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NM SB382

NM SB382
Hospital Billing Changes


summary

Introduced
02/17/2021
In Committee
03/09/2021
Crossed Over
Passed
Dead
03/20/2021

Introduced Session

2021 Regular Session

Bill Summary

AN ACT RELATING TO HEALTH CARE; ESTABLISHING REQUIREMENTS FOR HOSPITAL BILLING; ENACTING A NEW SECTION OF THE UNFAIR PRACTICES ACT; PROVIDING FOR FORFEITURES AND PENALTIES.

AI Summary

This bill establishes new requirements for hospital billing in New Mexico. It mandates that hospitals provide patients with a single, comprehensive billing statement within 60 days of discharge, or within 90 days if negotiations with third-party payers cause a delay. The statement must clearly identify which services were provided by participating vs. non-participating providers, and distinguish the patient's financial responsibility from that of any third-party payer. Hospitals that do not comply with these provisions are in violation of the state's Unfair Practices Act and may forfeit the right to bill the patient directly for any uncovered services. The bill also defines key terms like "episode of care" and "participating/non-participating provider."

Committee Categories

Health and Social Services, Justice

Sponsors (1)

Last Action

SHPAC: Reported by committee with Do Pass recommendation (on 03/09/2021)

bill text


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