summary
Introduced
01/23/2017
01/23/2017
In Committee
01/23/2017
01/23/2017
Crossed Over
Passed
Dead
12/31/2018
12/31/2018
Introduced Session
190th General Court
Bill Summary
Relative to requiring that health care facilities, ambulatory surgical centers and outpatient facilities bill all public and private payers for services using their assigned national provider identification number. Public Health.
AI Summary
This bill requires healthcare facilities, ambulatory surgical centers, and outpatient facilities to bill all public and private payers using the National Provider Identification (NPI) number assigned to the specific facility and physical location where the services were provided. It prohibits acute-care hospitals from operating secondary facilities under their primary license, and such secondary facilities must obtain a separate NPI number and license. The bill also allows secondary facilities to negotiate separate reimbursement rates with carriers or, in the absence of an agreement, to be reimbursed at 110% of Medicare rates. The Department of Public Health and the Office of the Attorney General are responsible for enforcing the bill's requirements.
Committee Categories
Health and Social Services
Sponsors (1)
Last Action
Accompanied a study order, see H4625 (on 06/18/2018)
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/190/H1197 |
| Bill | https://malegislature.gov/Bills/190/H1197.pdf |
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