PATIENT BILL & OUTSOURCED CARE
Summary
Amends the Fair Patient Billing Act. Makes changes to findings and defined terms provisions. Provides that a hospital shall not deny any protection or benefit of the Act on the basis of a patient's citizenship or immigration status or assets or prospective assets. Provides that a patient who inquires about a denial of financial assistance in whole or in part must be permitted to appeal the decision within at least 90 days. Requires a hospital to use only a uniform financial assistance form developed and provided by the Attorney General no later than December 31, 2026. Provides that every hospital bill and every collection notice must notify the patient, in the patient's preferred language, of the availability of hospital financial assistance and charity care. Establishes further provisions concerning hospitals pursuing collection actions; outsourced health care services; patient responsibilities; and applicability of the Act. Amends the Hospital Uninsured Patient Discount Act. Sets forth provisions concerning uninsured patient discounts for specified income levels. Prohibits hospitals from making the availability of a discount under the Act contingent upon the uninsured patient first applying for coverage under public health insurance programs. Provides that patients may not be denied a discount under the Act on the basis of citizenship or immigration status or assets or prospective assets. Makes other changes concerning uninsured patient discounts, outsourcing health care services, and patient responsibilities. Effective immediately.
Bill status
signed
all 5 stages cleared
Introduction
Apr 2026
Committee Review
May 2026
House Passage
May 2026
Senate Passage
May 2026
Signed into Law
Jun 2026
Introduced Apr 21, 2026
Signed Jun 26, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
Engrossed
→
Enrolled
·
1 edit
·
Jun 26, 2026
MINOR
The bill has progressed from its 'Engrossed' version to the final 'Enrolled' version, which is the official text signed into law. The primary change is a formatting update to the page header, where the status label was updated to reflect the bill's final state. No substantive policy changes, such as new requirements, funding adjustments, or eligibility criteria, were made in this transition.
TECHNICAL
The page header text was updated from 'HB5390 Engrossed' to 'HB5390 Enrolled' to indicate the bill has been finalized and approved for signing.
Floor votes · Senate May 20, 2026 · House Apr 16, 2026
How they voted
38–19
Passed · 1 other
Total votes 58
May 20, 2026
D
Democratic39
97% Yea
R
Republican19
100% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
35
Key actions
9
Committee
9
Amendments
2
Jun 26, 2026
Signed into law
Governor Approved
lower
May 20, 2026
Lower · Passed
Passed Both Houses
lower
May 20, 2026
Upper · Passed
Third Reading - Passed; 039-019-000
upper
May 6, 2026
Upper · Passed
Do Pass Executive; 009-004-000
upper
Apr 28, 2026
Committee
Assigned to Executive
upper
Apr 21, 2026
Committee
Referred to Assignments
upper
Apr 21, 2026
Introduced
Arrive in Senate
upper
Apr 16, 2026
Lower · Passed
Third Reading - Short Debate - Passed 073-034-000
lower
Apr 16, 2026
Lower · Passed
House Floor Amendment No. 1 Adopted
lower
Apr 16, 2026
Lower · Passed
House Floor Amendment No. 1 Recommends Be Adopted Health Care Availability & Accessibility Committee; 014-000-000
lower
Apr 15, 2026
Lower · Passed
House Floor Amendment No. 1 Rules Refers to Health Care Availability & Accessibility Committee
lower
Apr 15, 2026
Committee
House Floor Amendment No. 1 Referred to Rules Committee
lower
Apr 15, 2026
Introduced
House Floor Amendment No. 1 Filed with Clerk by Rep. Dagmara Avelar
lower
Mar 18, 2026
Lower · Passed
Do Pass / Short Debate Health Care Availability & Accessibility Committee; 008-004-000
lower
Feb 24, 2026
Committee
Assigned to Health Care Availability & Accessibility Committee
lower
Feb 10, 2026
Committee
Referred to Rules Committee
lower
2 primary · 3 co-sponsors
Sponsors
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