summary
Introduced
02/16/2023
02/16/2023
In Committee
02/22/2024
02/22/2024
Crossed Over
Passed
Dead
12/31/2024
12/31/2024
Introduced Session
193rd General Court
Bill Summary
Relative to non-contracted and non-emergency healthcare billing. Financial Services.
AI Summary
This bill aims to protect health care consumers from surprise billing. It has several key provisions:
1. It restricts when healthcare providers can charge facility fees, allowing them only for services provided on a hospital's campus, at a facility with a licensed emergency department, or at a licensed satellite emergency facility. It prohibits facility fees for services that can be safely and effectively provided in non-hospital settings.
2. It requires healthcare providers to provide written notice to patients about any facility fees they will be charged, with the timing and method of the notice depending on how far in advance the appointment is scheduled.
3. It requires healthcare providers to clearly identify their facilities as being associated with a hospital.
4. It prohibits healthcare providers from billing patients for "surprise bills" related to unforeseen out-of-network services, requiring the provider to accept the insurer's median contracted rate as payment in full.
5. It imposes penalties for non-compliance and gives the Attorney General authority to investigate violations and take enforcement action.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (2)
Last Action
Accompanied a study order, see H4634 (on 05/09/2024)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
---|---|
State Bill Page | https://malegislature.gov/Bills/193/H997 |
BillText | https://malegislature.gov/Bills/193/H997.pdf |
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