HB 1447 IN Became Law
Good faith health care estimates.
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Summary
Revises the definition of "practitioner" in the laws concerning good faith estimates of costs for health care services. Postpones, from July 1, 2021, to January 1, 2022, the effective date of the requirement that a practitioner provide a good faith estimate of the amount the practitioner intends to charge for a health care service. Requires that the communication by a provider facility and a practitioner to a patient about the patient's right to request a good faith estimate be conspicuous and be provided by at least three of eight specified potential means. Provides that the written notice that a practitioner provides to an individual about a scheduled or ordered nonemergency health care service must state that a good faith estimate of cost need not be provided if the service is scheduled to be performed within five business days of the date of the patient's request. Provides that certain written statements must be in "conspicuous" type instead of in type at least as large as 14 point type. Requires a practitioner or facility to provide a written explanation if the charge for a health care service exceeds the practitioner's or facility's good faith estimate by the greater of: (1) $100; or (2) 5%. Revises the content of the written statement that an out of network practitioner providing health care services at an in network facility must give to a covered individual in order to be reimbursed more for the health care services than allowed according to the rate established by the covered individual's network plan. Provides that a practitioner can comply with the requirement to provide a good faith estimate of the amount that the practitioner intends to charge a covered individual by complying with the requirements of the new federal No Surprises Act (Act). Provides that a health carrier may satisfy certain requirements concerning good faith estimates by complying with the Act.
Sponsors (3)
- Ann Vermilion · author
- Andy Zay · sponsor
- Ed Charbonneau Republican · sponsor
4 coauthors / cosponsors
- Donna Schaibley · coauthor
- Martin Carbaugh Republican · coauthor
- Terri Jo Austin · coauthor
- Lonnie Randolph Democratic · cosponsor
Action history (35)
- Jan 14, 2021 Coauthored by Representative Schaibley · lower
- Jan 14, 2021 Authored by Representative Vermilion · lower
- Jan 14, 2021 First reading: referred to Committee on Financial Institutions and Insurance · lower
- Feb 11, 2021 Committee report: amend do pass, adopted · lower
- Feb 15, 2021 Second reading: ordered engrossed · lower
- Feb 15, 2021 Representative Carbaugh added as coauthor · lower
- Feb 15, 2021 Representative Austin added as coauthor · lower
- Feb 17, 2021 Third reading: passed; Roll Call 153: yeas 95, nays 0 · lower
- Feb 17, 2021 Senate sponsors: Senators Zay and Charbonneau · lower
- Feb 18, 2021 Referred to the Senate · lower
- Mar 2, 2021 First reading: referred to Committee on Health and Provider Services · upper
- Apr 1, 2021 Committee report: amend do pass, adopted · upper
- Apr 6, 2021 Second reading: ordered engrossed · upper
- Apr 8, 2021 Third reading: passed; Roll Call 368: yeas 47, nays 0 · upper
- Apr 8, 2021 Senator Randolph added as cosponsor · upper
- Apr 9, 2021 Returned to the House with amendments · upper
- Apr 12, 2021 Motion to dissent filed · lower
- Apr 12, 2021 House dissented from Senate amendments · lower
- Apr 13, 2021 House conferees appointed: Vermilion and Austin · lower
- Apr 13, 2021 House advisors appointed: Schaibley, Carbaugh and Shackleford · lower
- Apr 13, 2021 Senate conferees appointed: Zay and Yoder · upper
- Apr 13, 2021 Senate advisors appointed: Charbonneau and Breaux · upper
- Apr 14, 2021 Representative Fleming added as advisor · lower
- Apr 14, 2021 Representative Shackleford removed as advisor · lower
- Apr 14, 2021 Representative Austin removed as conferee · lower
- Apr 14, 2021 Representative Shackleford added as conferee · lower
- Apr 15, 2021 CCR # 1 filed in the Senate · upper
- Apr 15, 2021 CCR # 1 filed in the House · lower
- Apr 19, 2021 Conference Committee Report 1: adopted by the House; Roll Call 459: yeas 79, nays 0 · lower
- Apr 20, 2021 Conference Committee Report 1: adopted by the Senate; Roll Call 464: yeas 48, nays 0 · upper
- Apr 22, 2021 Signed by the Speaker · lower
- Apr 23, 2021 Signed by the President Pro Tempore · upper
- Apr 28, 2021 Signed by the President of the Senate · upper
- Apr 29, 2021 Signed by the Governor · executive
- Apr 29, 2021 Public Law 202 · lower
Text versions (5)
The published texts of this bill as it moves through the legislature. Each links to the official document on the state legislature site. Data from OpenStates.
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