Health benefit plans; balance billing for ancillary services. (SB1362)
Introduced By
Sen. Frank Wagner (R-Virginia Beach)
Progress
✓ |
Introduced |
✗ |
Passed Committee |
☐ |
Passed House |
☐ |
Passed Senate |
☐ |
Signed by Governor |
☐ |
Became Law |
Description
Health benefit plans; balance billing for ancillary services. Prohibits an out-of-network provider from balance billing a covered person for the costs of an ancillary service when an in-network provider referred the covered person to the out-of-network provider unless (i) the referring in-network provider provided the covered person with a notice of liability for the balance; (ii) the out-of-network provider, prior to providing an ancillary service to the covered person, provided a good faith estimate of the out-of-network provider's charges upon request; (iii) the out-of-network provider provided the covered person with a notice of liability for the balance; and (iv) the covered person acknowledged, by signing the out-of-network provider's notice of liability for the balance, that he is aware that using the out-of-network provider may result in his being balance billed. The prohibition on balance billing applies to amounts in excess of the allowed amount, which is the amount that a carrier is obligated to pay, pursuant to the terms of the covered person's health benefit plan, to a covered person for ancillary services provided by an out-of-network provider, net any copayment, deductible, or other cost-sharing amount. Read the Bill »
Outcome
History
Date | Action |
---|---|
01/08/2019 | Prefiled and ordered printed; offered 01/09/19 19103739D |
01/08/2019 | Referred to Committee on Commerce and Labor |
01/20/2019 | Impact statement from SCC (SB1362) |
01/31/2019 | Committee substitute printed to LIS only 19106141D-S1 |
01/31/2019 | Passed by indefinitely in Commerce and Labor with letter (15-Y 0-N) (see vote tally) |
02/10/2019 | Impact statement from SCC (SB1362S1) |