Vote Smart's Synopsis:

Vote to pass a bill that establishes regulations for out-of-network medical billing.

Highlights:

• Requires doctors disclose to patients what health insurance coverage they cover under their insurance network prior to the procedure being billed to the individual (Sec. 6).

• Prohibits healthcare providers from charging balanced-billing costs related to out-of-network services provided to an individual patient (Sec. 6).

• Defines “balanced-billing” practices as charges and payments for health care services not covered under their insurance plan (Sec. 6).

• Defines “out-of-network” health care benefits as medical procedures and services that are not covered under health insurance plans (Sec. 7).

• Requires that hospitals and health insurance providers update their website within 20 days of additional information becoming known about the medical professionals, anesthesiologists, and pathologists employed with that provider (Sec. 7).

Full Bill Text

Vote Smart's Synopsis:

Vote to pass a bill that establishes regulations for out-of-network medical billing.

Highlights:

• Requires doctors disclose to patients what health insurance coverage they cover under their insurance network prior to the procedure being billed to the individual (Sec. 6).

• Prohibits healthcare providers from charging balanced-billing costs related to out-of-network services provided to an individual patient (Sec. 6).

• Defines “balanced-billing” practices as charges and payments for health care services not covered under their insurance plan (Sec. 6).

• Defines “out-of-network” health care benefits as medical procedures and services that are not covered under health insurance plans (Sec. 7).

• Requires that hospitals and health insurance providers update their website within 20 days of additional information becoming known about the medical professionals, anesthesiologists, and pathologists employed with that provider (Sec. 7).

Full Bill Text