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To amend title XVIII of the Social Security Act to prevent surprise billing practices, and for other purposes.

USA115th CongressHR-817| House 
| Updated: 2/14/2017
Lloyd Doggett

Lloyd Doggett

Democratic Representative

Texas

Cosponsors (45)
Brenda L. Lawrence (Democratic)Marcy Kaptur (Democratic)John Garamendi (Democratic)Ruben Gallego (Democratic)Barbara Lee (Democratic)Robin L. Kelly (Democratic)Raúl M. Grijalva (Democratic)Mark Pocan (Democratic)James R. Langevin (Democratic)David N. Cicilline (Democratic)Brian Higgins (Democratic)John A. Yarmuth (Democratic)Joe Courtney (Democratic)Carol Shea-Porter (Democratic)Steve Cohen (Democratic)Paul Tonko (Democratic)Rosa L. DeLauro (Democratic)Adriano Espaillat (Democratic)Danny K. Davis (Democratic)Vicente Gonzalez (Democratic)Ro Khanna (Democratic)Ann M. Kuster (Democratic)Christopher H. Smith (Republican)Matt Cartwright (Democratic)Keith Ellison (Democratic)G. K. Butterfield (Democratic)John Conyers (Democratic)Gene Green (Democratic)Jerrold Nadler (Democratic)John Lewis (Democratic)Pramila Jayapal (Democratic)Eleanor Holmes Norton (Democratic)Daniel Lipinski (Democratic)Jamie Raskin (Democratic)Diana DeGette (Democratic)Janice D. Schakowsky (Democratic)Nydia M. Velázquez (Democratic)Beto O'Rourke (Democratic)Yvette D. Clarke (Democratic)Peter Welch (Democratic)Zoe Lofgren (Democratic)Gwen Moore (Democratic)Alcee L. Hastings (Democratic)Chellie Pingree (Democratic)Judy Chu (Democratic)

Ways and Means Committee, Health Subcommittee, Health Subcommittee, Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
End Surprise Billing Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to require a critical access hospital or other hospital to comply, as a condition of participation in Medicare, with certain requirements related to billing for out-of-network services. With respect to an individual who has health benefits coverage and is seeking services, a hospital must provide notice as to: (1) whether the hospital, or any of the providers furnishing services to the individual at the hospital, is not within the health care provider network or otherwise a participating provider with respect to the individual's health care coverage; and (2) if so, the estimated out-of-pocket costs of the services to the individual. At least 24 hours prior to providing those services, the hospital must document that the individual: (1) has been provided with the required notice, and (2) consents to be furnished with the services and charged an amount approximate to the estimate provided. Otherwise, the hospital may not charge the individual more than the individual would have been required to pay if the services had been furnished by an in-network or participating provider. With respect to such an individual who is seeking same-day emergency services, a hospital may not charge more than the individual would be required to pay for such services furnished by an in-network or participating provider.
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Timeline
Feb 2, 2017

Latest Companion Bill Action

S 115-284
Introduced in Senate
Feb 2, 2017
Introduced in House
Feb 2, 2017
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Feb 3, 2017
Referred to the Subcommittee on Health.
Feb 14, 2017
Referred to the Subcommittee on Health.
  • February 2, 2017

    Latest Companion Bill Action

    S 115-284
    Introduced in Senate


  • February 2, 2017
    Introduced in House


  • February 2, 2017
    Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.


  • February 3, 2017
    Referred to the Subcommittee on Health.


  • February 14, 2017
    Referred to the Subcommittee on Health.

Health

Related Bills

  • S 115-284: A bill to amend title XVIII of the Social Security Act to prevent surprise billing practices, and for other purposes.
Emergency medical services and trauma careHospital careMedicare

To amend title XVIII of the Social Security Act to prevent surprise billing practices, and for other purposes.

USA115th CongressHR-817| House 
| Updated: 2/14/2017
End Surprise Billing Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to require a critical access hospital or other hospital to comply, as a condition of participation in Medicare, with certain requirements related to billing for out-of-network services. With respect to an individual who has health benefits coverage and is seeking services, a hospital must provide notice as to: (1) whether the hospital, or any of the providers furnishing services to the individual at the hospital, is not within the health care provider network or otherwise a participating provider with respect to the individual's health care coverage; and (2) if so, the estimated out-of-pocket costs of the services to the individual. At least 24 hours prior to providing those services, the hospital must document that the individual: (1) has been provided with the required notice, and (2) consents to be furnished with the services and charged an amount approximate to the estimate provided. Otherwise, the hospital may not charge the individual more than the individual would have been required to pay if the services had been furnished by an in-network or participating provider. With respect to such an individual who is seeking same-day emergency services, a hospital may not charge more than the individual would be required to pay for such services furnished by an in-network or participating provider.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Feb 2, 2017

Latest Companion Bill Action

S 115-284
Introduced in Senate
Feb 2, 2017
Introduced in House
Feb 2, 2017
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Feb 3, 2017
Referred to the Subcommittee on Health.
Feb 14, 2017
Referred to the Subcommittee on Health.
  • February 2, 2017

    Latest Companion Bill Action

    S 115-284
    Introduced in Senate


  • February 2, 2017
    Introduced in House


  • February 2, 2017
    Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.


  • February 3, 2017
    Referred to the Subcommittee on Health.


  • February 14, 2017
    Referred to the Subcommittee on Health.
Lloyd Doggett

Lloyd Doggett

Democratic Representative

Texas

Cosponsors (45)
Brenda L. Lawrence (Democratic)Marcy Kaptur (Democratic)John Garamendi (Democratic)Ruben Gallego (Democratic)Barbara Lee (Democratic)Robin L. Kelly (Democratic)Raúl M. Grijalva (Democratic)Mark Pocan (Democratic)James R. Langevin (Democratic)David N. Cicilline (Democratic)Brian Higgins (Democratic)John A. Yarmuth (Democratic)Joe Courtney (Democratic)Carol Shea-Porter (Democratic)Steve Cohen (Democratic)Paul Tonko (Democratic)Rosa L. DeLauro (Democratic)Adriano Espaillat (Democratic)Danny K. Davis (Democratic)Vicente Gonzalez (Democratic)Ro Khanna (Democratic)Ann M. Kuster (Democratic)Christopher H. Smith (Republican)Matt Cartwright (Democratic)Keith Ellison (Democratic)G. K. Butterfield (Democratic)John Conyers (Democratic)Gene Green (Democratic)Jerrold Nadler (Democratic)John Lewis (Democratic)Pramila Jayapal (Democratic)Eleanor Holmes Norton (Democratic)Daniel Lipinski (Democratic)Jamie Raskin (Democratic)Diana DeGette (Democratic)Janice D. Schakowsky (Democratic)Nydia M. Velázquez (Democratic)Beto O'Rourke (Democratic)Yvette D. Clarke (Democratic)Peter Welch (Democratic)Zoe Lofgren (Democratic)Gwen Moore (Democratic)Alcee L. Hastings (Democratic)Chellie Pingree (Democratic)Judy Chu (Democratic)

Ways and Means Committee, Health Subcommittee, Health Subcommittee, Energy and Commerce Committee

Health

Related Bills

  • S 115-284: A bill to amend title XVIII of the Social Security Act to prevent surprise billing practices, and for other purposes.
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Emergency medical services and trauma careHospital careMedicare