Good faith health care estimates.
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.
Bill status
signed
all 5 stages cleared
Introduction
Apr 2021
Committee Review
Apr 2021
House Passage
Feb 2021
Senate Passage
Apr 2021
Signed into Law
Apr 2021
Introduced Apr 12, 2021
Signed Apr 29, 2021
Floor votes · Senate Apr 8, 2021
How they voted
44–0
Passed · 3 other
Total votes 47
Apr 8, 2021
D
Democratic11
100% Yea
R
Republican36
91% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
35
Key actions
7
Committee
5
Amendments
2
Apr 29, 2021
Signed into law
Signed by the Governor
executive
Apr 20, 2021
Upper · Passed
Conference Committee Report 1: adopted by the Senate; Roll Call 464: yeas 48, nays 0
upper
Apr 19, 2021
Lower · Passed
Conference Committee Report 1: adopted by the House; Roll Call 459: yeas 79, nays 0
lower
Apr 15, 2021
Introduced
CCR # 1 filed in the House
lower
Apr 15, 2021
Introduced
CCR # 1 filed in the Senate
upper
Apr 12, 2021
Amended
House dissented from Senate amendments
lower
Apr 12, 2021
Introduced
Motion to dissent filed
lower
Apr 9, 2021
Amended
Returned to the House with amendments
upper
Apr 8, 2021
Upper · Passed
Third reading: passed; Roll Call 368: yeas 47, nays 0
upper
Apr 1, 2021
Upper · Passed
Committee report: amend do pass, adopted
upper
Feb 18, 2021
Committee
Referred to the Senate
lower
Feb 17, 2021
Lower · Passed
Third reading: passed; Roll Call 153: yeas 95, nays 0
lower
Feb 11, 2021
Lower · Passed
Committee report: amend do pass, adopted
lower
3 primary · 4 co-sponsors
Sponsors
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