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2019 House Bill 4459: Restrict excessive charges for emergency medical care

Public Act 234 of 2020

Introduced by Rep. Roger Hauck R-Isabella County on April 16, 2019
To prohibit hospital emergency rooms or other emergency medical care providers from charging a person whose health insurance provider does not have a negotiated deal with the provider more than 125 percent of what the insurer would pay to a provider with whom it had negotiated discounts for its customers.   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-2) 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.
Substitute offered by Rep. Jon Hoadley D-Kalamazoo on June 24, 2020
To adopt an unpublished substitute that presumably reflects different preferences on the issue.
The substitute failed by voice vote in the House on June 24, 2020
To prohibit hospital emergency rooms or other emergency medical care providers from charging a person whose health insurance provider does not have a negotiated deal with the provider more than the average amount negotiated by the patient’s insurer, or more than 150% of the Medicare fee for service fee, with various exceptions.
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 prohibit hospital emergency rooms or other emergency medical care providers from charging a person whose health insurance provider does not have a negotiated deal with the provider more than the median amount negotiated by the patient’s insurer for various medical specialties, or more than 150% of the Medicare fee for service fee, with various exceptions.
Received in the House on September 30, 2020
To concur with the House-passed version of the bill.
Signed by Gov. Gretchen Whitmer on October 22, 2020

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