HB2750: Elective medical procedure, test, or service; advance estimate of patient payment amount.


VIRGINIA ACTS OF ASSEMBLY -- CHAPTER
An Act to amend and reenact § 32.1-137.05 of the Code of Virginia, relating to advance estimate of patient payment amount for elective medical procedure, test, or service.
[H 2750]
Approved

 

Be it enacted by the General Assembly of Virginia:

1. That § 32.1-137.05 of the Code of Virginia is amended and reenacted as follows:

§ 32.1-137.05. Advance estimate of patient payment amount for elective procedure, test, or service.

Every hospital shall, upon request of a patient scheduled to receive an elective procedure, test, or service to be performed by the hospital, or upon request of such patient's legally authorized representative, made no less than three days in advance of the date on which such elective procedure, test, or service is scheduled to be performed, furnish the patient with an estimate of the payment amount for which the participant will be responsible for such elective procedure, test, or service. Every hospital shall provide written information about the patient's ability to request an estimate of the payment amount pursuant to this section. Such written information shall be posted conspicuously in public areas of the hospital, including admissions or registration areas, and included on any website maintained by the hospital.


HOUSE BILL NO. 2750
AMENDMENT IN THE NATURE OF A SUBSTITUTE
(Proposed by the Senate Committee on Education and Health
on February 7, 2019)
(Patron Prior to Substitute--Delegate Toscano)
A BILL to amend and reenact §§ 32.1-137.05 and 54.1-2963.1 of the Code of Virginia, relating to health care services; payment estimates.

Be it enacted by the General Assembly of Virginia:

1. That §§ 32.1-137.05 and 54.1-2963.1 of the Code of Virginia are amended and reenacted as follows:

§ 32.1-137.05. Advance disclosure of charge for elective procedure, test, or service.

Every hospital shall, upon request of a patient scheduled to receive an elective procedure, test, or service to be performed by the hospital, or upon request of such patient's legally authorized representative, made no less than three days in advance of the date on which such elective procedure, test, or service is scheduled to be performed, furnish the patient with an estimate of the payment amount for which the participant will be responsible for such elective procedure, test, or service. Every hospital shall provide written information about the patient's ability to request an estimate of the payment amount pursuant to this section. Such written information shall be posted conspicuously in public areas of the hospital, including admissions or registration areas, and on any website maintained by the hospital.

§ 54.1-2963.1. Disclosure of medical treatment options.

A. For the purposes of this section, "medical treatment options" means any alternative or experimental therapeutic, psychiatric, medical treatment or procedure, health care service, drug, or remedy.

B. Any physician, physician assistant, or nurse practitioner shall have the authority to disclose fully all medical treatment options to patients, whether or not such treatment options are (i) experimental or covered services, (ii) services that the health insurer will not authorize, or (iii) the costs of the treatment will be borne by the health insurer or the patient, to facilitate an informed decision by the patient, if the physician determines that such an option is in the best interest of the patient. Any physician, physician assistant, or nurse practitioner who discloses information concerning other medical treatment options to a person with whom he has established a physician-patient practitioner-patient relationship shall not be liable to any health insurer, in an action instituted solely on behalf of the health insurer, for any civil damages resulting from the disclosure of such information. This section shall not affect any cause of action a patient may have against a physician practitioner.

For the purposes of this section, "medical treatment options" means any alternative or experimental therapeutic, psychiatric, medical treatment or procedure, health care service, drug, or remedy.

C. Any physician, physician assistant, or nurse practitioner who practices in an office-based setting, or his designee, shall provide, upon request of a patient, an estimate of the charges for such health care services for the patient.


HOUSE BILL NO. 2750
AMENDMENT IN THE NATURE OF A SUBSTITUTE
(Proposed by the House Committee on Health, Welfare and Institutions
on January 29, 2019)
(Patron Prior to Substitute--Delegate Toscano)
A BILL to amend and reenact § 32.1-137.05 of the Code of Virginia, relating to advance estimate of patient payment amount for elective medical procedure, test, or service.

Be it enacted by the General Assembly of Virginia:

1. That § 32.1-137.05 of the Code of Virginia is amended and reenacted as follows:

§ 32.1-137.05. Advance estimate of patient payment amount for elective procedure, test, or service.

Every hospital shall, upon request of a patient scheduled to receive an elective procedure, test, or service to be performed by the hospital, or upon request of such patient's legally authorized representative, made no less than three days in advance of the date on which such elective procedure, test, or service is scheduled to be performed, furnish the patient with an estimate of the payment amount for which the participant will be responsible for such elective procedure, test, or service. Every hospital shall provide written information about the patient's ability to request an estimate of the payment amount pursuant to this section. Such written information shall be posted conspicuously in public areas of the hospital, including admissions or registration areas, and included on any website maintained by the hospital.

HOUSE BILL NO. 2750

Offered January 17, 2019
A BILL to amend and reenact § 32.1-137.05 of the Code of Virginia, relating to advance estimate of patient payment amount for elective medical procedure, test, or service.
Patron-- Toscano

Committee Referral Pending

Be it enacted by the General Assembly of Virginia:

1. That § 32.1-137.05 of the Code of Virginia is amended and reenacted as follows:

§ 32.1-137.05. Advance estimate of patient payment amount for elective procedure, test, or service.

Every hospital Each medical care facility licensed pursuant to this article shall, upon request of a provide to each patient scheduled to receive an elective procedure, test, or service to be performed by at the hospital, or upon request of such patient's legally authorized representative, made no less than three days in advance of the date on which such elective procedure, test, or service is scheduled to be performed, furnish the patient with medical care facility an estimate of the payment amount for which the participant patient will be responsible for such elective procedure, test, or service at least three days in advance of the date on which such elective procedure, test, or service is scheduled to be performed. The payment estimate may also be provided to the patient's legally authorized representative.