2019 House Bill 4460 / 2020 Public Act 235

Restrict excessive charges for emergency medical care

Introduced in the House

April 16, 2019

Introduced by Rep. Frank Liberati (D-13)

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.

Referred to the Committee on Health Policy

Nov. 7, 2019

Reported without amendment

Refer to the Committee on Ways and Means with the recommendation that the substitute (H-5) be adopted.

Referred to the Committee on Ways and Means

June 24, 2020

Reported without amendment

With the recommendation that the substitute (H-6) be adopted and that the bill then pass.

Passed in the House 106 to 0 (details)

To require medical care providers to disclose to patients:<br> "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...<br> "The (outside-of-network) provider must provide a good-faith estimate of the cost of the health care services to be provided...<br> "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."<br> See also House Bill 4459.

Received in the Senate

June 25, 2020

Referred to the Committee on Health Policy and Human Services

Sept. 9, 2020

Reported without amendment

With the recommendation that the substitute (S-4) be adopted and that the bill then pass.

Sept. 30, 2020

Passed in the Senate 37 to 1 (details)

To require medical care providers to disclose to patients:<br> "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.<br> 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.<br> 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. <br> "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."<br> See also House Bill 4459.

Received in the House

Sept. 30, 2020

Oct. 13, 2020

Passed in the House 103 to 0 (details)

To concur with the Senate-passed version of the bill.

Signed by Gov. Gretchen Whitmer

Oct. 22, 2020