H 4619 Massachusetts House · 194th Legislature (2025-2026)

An Act to protect health care consumers from surprise billing

H 4619 prohibits healthcare providers from charging facility fees (separate charges for hospital infrastructure) except for services on a hospital campus, at a hospital emergency department, or for emergency care at satellite facilities. It requires providers to give patients clear written notice about facility fees before or during care, display hospital ownership signage, and disclose if a location changes to charge such fees. The bill directly affects patients receiving care at healthcare facilities and healthcare providers who charge facility fees, aiming to prevent unexpected billing. The Department of Public Health will create rules to enforce these requirements and impose fines for violations.
Bill status in committee 1 of 4 stages cleared
Introduction
Oct 2025
Committee Review
Floor Vote
Governor
Introduced Oct 20, 2025 Last action Jul 27, 2026
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
7
Key actions
2
Committee
3
Jul 27, 2026
Committee
Committee recommended bill ought to pass and referred to the committee on House Ways and Means
lower
Oct 20, 2025
Lower · Passed
Reported favorably by committee and referred to the committee on Health Care Financing
lower
Oct 20, 2025
Lower · Passed
Reported from the committee on Financial Services
lower
0 primary · 1 co-sponsor

Sponsors

No sponsor information available.