Bill Analysis — Senate Bill 505, Medical Billing Transparency (April 26, 2021)
Summary
Bill analysis of the Second Edition of Senate Bill 505, Medical Billing Transparency, for the Senate Commerce and Insurance committee, dated April 26, 2021. It states the bill would require healthcare facilities to notify patients of any healthcare providers at the facility who may not be in the patients' insurance network. The notification would have to be given at least 72 hours prior to the appointment for appointments made that far in advance, on the day of the appointment for appointments made less than 72 hours in advance, and as soon as reasonably possible for emergency care. The bill would be effective January 1, 2022.
Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used
Cite this document
“Bill Analysis — Senate Bill 505, Medical Billing Transparency (April 26, 2021).”
Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/2021-04-28-s505-smbc-50-e2-v1-ab1de71a8d/
, SHA-256 dd7b641d62eba469485e54b1ac199e51b24c23e7ddea9f915c058ec07d776273.Full text
SENATE BILL 505:
Medical Billing Transparency.
2021-2022 General Assembly
Committee: Senate Commerce and Insurance. If favorable, Date: April 26, 2021
re-refer to Rules and Operations of the Senate
Introduced by: Sens. Krawiec, Burgin, Perry Prepared by: Jason Moran-Bates
Analysis of: Second Edition Staff Attorney
OVERVIEW: Senate Bill 505 would require healthcare facilities to notify patients of any healthcare
providers at the facility who may not be in the patients' insurance network.
BILL ANALYSIS: Under Senate Bill 505, when a patient makes an appointment for healthcare at an in-
network health service facility, the facility would be required to notify the patient of any out-of-network
health care providers who may be providing care to the patient. The notification would have to be given
at least 72 hours prior to the appointment for appointments made that far in advance, on the day of the
appointment for appointments made less than 72 hours in advance, and as soon as reasonably possible for
emergency care. The notification would have to include all the out-of-network providers who will be
involved in the patient's care and the approximate cost to the insured for that care.
"Health care provider" would be defined to include anyone licensed under Chapter 90 to provide
healthcare services. "Health services facility" would be defined to include a hospital; long-term care
hospital; psychiatric facility; rehabilitation facility; nursing home facility; adult care home; kidney disease
treatment center, including freestanding hemodialysis units; intermediate care facility for individuals with
intellectual disabilities; home health agency office; chemical dependency treatment facility; diagnostic
center; hospice office, hospice inpatient facility, hospice residential care facility; and ambulatory surgical
facility.
EFFECTIVE DATE: The bill would be effective January 1, 2022, and would apply to contracts entered
into, amended, or renewed on or after that date.
Legislative Analysis
Jeffrey Hudson
Division
Director S505-SMBC-50(e2)-v-1 919-733-2578
This bill analysis was prepared by the nonpartisan legislative staff for the use of legislators in their deliberations and does not constitute an official statement of legislative intent.
File and source
- File
- 2021-04-28_S505-SMBC-50-e2-v1.pdf
- Size
- 40,474 bytes
- SHA-256
- dd7b641d62eba469485e54b1ac199e51b24c23e7ddea9f915c058ec07d776273
- Original
- No public link identified.