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IN HB1291
Bill
Status
1/12/2016
Primary Sponsor
Donna Schaibley
Click for details
AI Summary
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State employee plans must provide covered individuals with good faith estimates of out-of-pocket costs for prescribed, nonemergency health care services within 5 business days of request, or refer them to online cost estimation tools.
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Health care providers (hospitals, ambulatory surgery centers, abortion clinics, birthing centers), practitioners, and insurers must provide patients with good faith cost estimates within 5 business days of request, in verbal, electronic, or written form upon request.
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All cost estimates must include notice that estimates are not binding on providers and actual costs may vary based on patient medical needs; providers may not charge patients for this information.
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Health care providers and practitioners must publish their payment policies for medically necessary services not covered by third party payers either on their website or in a visible location at their facility.
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Requirements do not apply to Medicaid recipients and providers meeting federal financial assistance policy standards under 26 U.S.C. 501(r) are considered compliant; effective July 1, 2016.
Legislative Description
Access to health care cost information. Requires health care providers and health plans to provide to covered individuals and patients certain information concerning the cost of health care services. Requires health care providers to publish a payment policy for medically necessary health care services not covered by a third party payment source.
Last Action
Representatives Braun, Bacon, Brown, C. added as coauthors
1/19/2016