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2019 House Bill 4460: Restrict excessive charges for emergency medical care

Public Act 235 of 2020

Introduced by Rep. Frank Liberati (D) on April 16, 2019
To allow medical care providers to charge their full retail rate to a person whose health insurance provider does not have a negotiated a deal with the provider only if the patient is given a written estimate of the charges and agrees to pay the rate at least 24 hours before the care is provided. See also House Bill 4459.   Official Text and Analysis.
Referred to the House Health Policy Committee on April 16, 2019
Reported in the House on November 7, 2019
Refer to the Committee on Ways and Means with the recommendation that the substitute (H-5) be adopted.
Referred to the House Ways and Means Committee on November 7, 2019
Reported in the House on June 24, 2020
With the recommendation that the substitute (H-6) be adopted and that the bill then pass.
To require medical care providers to disclose to patients:
"Your health benefit plan may or may not provide coverage for all of the health care services you are scheduled to receive or the providers providing those services. You may be responsible for the costs of the services that are not covered by your health benefit plan...
"The (outside-of-network) provider must provide a good-faith estimate of the cost of the health care services to be provided...
"You also have a right to request that the health care services be performed by a provider that participates with your health benefit plan, and may contact your insurer to arrange for those services to be provided at a lower cost and to receive information on in-network providers who can perform the health care services that you need."
See also House Bill 4459.
Received in the Senate on June 25, 2020
Referred to the Senate Health Policy and Human Services Committee on June 25, 2020
Reported in the Senate on September 9, 2020
With the recommendation that the substitute (S-4) be adopted and that the bill then pass.
To require medical care providers to disclose to patients:
"Your health benefit plan may or may not provide coverage for all of the health care services you are scheduled to receive or the providers providing those services. You may be responsible for the costs of the services that are not covered by your health benefit plan.
The nonparticipating provider must provide a good-faith estimate of the cost of the health care services to be provided. A good-faith estimate does not take into account unforeseen circumstances, which may affect the cost of the health care services provided.
You also have a right to request that the health care services be performed by a provider that participates with your health benefit plan, and may contact your carrier to arrange for those services to be provided at a lower cost and to receive information on in-network providers who can perform the health care services that you need.
"You also have a right to request that the health care services be performed by a provider that participates with your health benefit plan, and may contact your carrier to arrange for those services to be provided at a lower cost and to receive information on in-network providers who can perform the health care services that you need."
See also House Bill 4459.
Received in the House on September 30, 2020
To concur with the Senate-passed version of the bill.
Signed by Gov. Gretchen Whitmer on October 22, 2020

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