VA HB1714 | 2019 | Regular Session
Status
Spectrum: Bipartisan Bill
Status: Introduced on December 14 2018 - 25% progression, died in committee
Action: 2019-02-05 - Left in Appropriations
Pending: House Appropriations Committee
Text: Latest bill text (Comm Sub) [HTML]
Status: Introduced on December 14 2018 - 25% progression, died in committee
Action: 2019-02-05 - Left in Appropriations
Pending: House Appropriations Committee
Text: Latest bill text (Comm Sub) [HTML]
Summary
Balance billing; emergency services. Directs health carriers that provide individual or group health insurance that provide any benefits with respect to services rendered in an emergency department of a hospital to pay directly to an out-of-network health care provider the fair market value for the emergency services, less applicable cost-sharing requirements. The bill provides that direct payment from the health carrier to the out-of-network health care provider precludes the out-of-network health care provider from billing or seeking payment from the covered person for any other amount other than the applicable cost-sharing requirements. The measure defines fair market value as that price that is determined by considering the amounts billed to and accepted from health carriers or managed care plans by similar providers for comparable out-of-network emergency services in the community where the services were rendered, with the exclusion of amounts accepted by providers for patients covered by Medicare or Medicaid. The bill removes from the determination of whether a medical condition is an emergency medical condition the final diagnosis rendered to the covered person.
Title
Balance billing; emergency services.
Sponsors
| Del. Lee Ware [R] | Del. Betsy Carr [D] | Del. Hyland Fowler [R] | Del. Kaye Kory [D] |
Roll Calls
2019-01-31 - House - House: Reported from Commerce and Labor with substitute (18-Y 3-N) (Y: 18 N: 3 NV: 1 Abs: 0) [PASS]
History
| Date | Chamber | Action |
|---|---|---|
| 2019-02-05 | House | Left in Appropriations |
| 2019-01-31 | House | Referred to Committee on Appropriations |
| 2019-01-31 | House | Reported from Commerce and Labor with substitute (18-Y 3-N) |
| 2019-01-31 | House | Committee substitute printed 19105052D-H1 |
| 2018-12-14 | House | Referred to Committee on Commerce and Labor |
| 2018-12-14 | House | Prefiled and ordered printed; offered 01/09/19 19102436D |
