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SB522

Balance billing; emergency and elective services.

Status:
Consolidated

Chief Patron:
Ryan McDougle (R)

Session:
2020 Regular Session

Summary

As Introduced. Balance billing; emergency and elective services.

Requires health care facilities and health care providers to determine if providers scheduled to deliver elective services to a covered person are in the network of the covered person's managed care plan. The measure requires that when an elective service provider is determined to be out-of-network, in order for the covered person to assume financial responsibility for the out-of-network provider's charges, the health care facility or provider shall (i) inform the covered person of the out-of-network status of the provider, (ii) provide the covered person with the opportunity to be referred to an in-network provider, and (iii) prepare a document for signature by the covered person in which the covered person or his legal representative assumes financial responsibility for services performed by the out-of-network provider, and the covered person must sign the document described in clause (iii). The bill provides that such requirements will also apply to a health care provider in an office-based setting making a referral for elective radiology or pathology services. This bill was incorporated into SB 172. (Less)

  • Bill History

  • 01/07/2020 - Senate: Prefiled and ordered printed; offered 01/08/20 20102243D
  • 01/07/2020 - Senate: Referred to Committee on Commerce and Labor
  • 01/15/2020 - Senate: Assigned C&L sub: Health Insurance
  • 02/05/2020 - Senate: Impact statement from DPB (SB522)
  • 02/09/2020 - Senate: Incorporated by Commerce and Labor (SB172-Favola) (14-Y 0-N)

Full text and vote history:

Virginia Legislative Information System

RichmondSunlight.com

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