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

USA115th CongressS-284| Senate 
| Updated: 2/2/2017
Sherrod Brown

Sherrod Brown

Democratic Senator

Ohio

Finance 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
Introduced in Senate
Feb 2, 2017
Read twice and referred to the Committee on Finance.
Feb 14, 2017

Latest Companion Bill Action

HR 115-817
Referred to the Subcommittee on Health.
  • February 2, 2017
    Introduced in Senate


  • February 2, 2017
    Read twice and referred to the Committee on Finance.


  • February 14, 2017

    Latest Companion Bill Action

    HR 115-817
    Referred to the Subcommittee on Health.

Health

Related Bills

  • HR 115-817: 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

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

USA115th CongressS-284| Senate 
| Updated: 2/2/2017
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
Introduced in Senate
Feb 2, 2017
Read twice and referred to the Committee on Finance.
Feb 14, 2017

Latest Companion Bill Action

HR 115-817
Referred to the Subcommittee on Health.
  • February 2, 2017
    Introduced in Senate


  • February 2, 2017
    Read twice and referred to the Committee on Finance.


  • February 14, 2017

    Latest Companion Bill Action

    HR 115-817
    Referred to the Subcommittee on Health.
Sherrod Brown

Sherrod Brown

Democratic Senator

Ohio

Finance Committee

Health

Related Bills

  • HR 115-817: 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