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2017 SESSION

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SB 1301 Health insurance; balance billing.

Introduced by: Jill Holtzman Vogel | all patrons    ...    notes | add to my profiles

SUMMARY AS INTRODUCED:

Health insurance; balance billing. Authorizes a health care provider that does not participate in a health insurance carrier's provider network to bill an individual covered under a health benefit plan issued by the carrier for the balance of the provider's fees and charges remaining due after any payment by the carrier or other third party payer only if the covered person and the nonparticipating provider have entered into an express contract under which the covered person has undertaken to pay such balance. The measure establishes requirements for express contracts. If the covered person and nonparticipating provider have not entered into an express contract prior to the provision of the service, the measure provides that the covered person is obligated by an implied contract to pay the reasonable value of the health care services provided by the nonparticipating provider, less any other amounts received. The measure has a delayed effective date of January 1, 2018.


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