Bill

Bill > H997


MA H997

To protect health care consumers from surprise billing


summary

Introduced
02/16/2023
In Committee
02/22/2024
Crossed Over
Passed
Dead
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)

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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