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End Surprise Billing Act of 2019

USA116th CongressHR-861| House 
| Updated: 1/30/2019
Lloyd Doggett

Lloyd Doggett

Democratic Representative

Texas

Cosponsors (37)
Marcy Kaptur (Democratic)John Garamendi (Democratic)Barbara Lee (Democratic)Robin L. Kelly (Democratic)Raúl M. Grijalva (Democratic)Mark Pocan (Democratic)James R. Langevin (Democratic)David N. Cicilline (Democratic)Ed Case (Democratic)Brian Higgins (Democratic)Carolyn B. Maloney (Democratic)Debra A. Haaland (Democratic)Joe Courtney (Democratic)Steve Cohen (Democratic)Susan A. Davis (Democratic)Thomas R. Suozzi (Democratic)Rosa L. DeLauro (Democratic)Adriano Espaillat (Democratic)Danny K. Davis (Democratic)Ro Khanna (Democratic)Ann M. Kuster (Democratic)Katie Hill (Democratic)Matt Cartwright (Democratic)John Lewis (Democratic)Pramila Jayapal (Democratic)Eleanor Holmes Norton (Democratic)Daniel Lipinski (Democratic)Tulsi Gabbard (Democratic)Diana DeGette (Democratic)Janice D. Schakowsky (Democratic)Nydia M. Velázquez (Democratic)Peter Welch (Democratic)Gwen Moore (Democratic)Alcee L. Hastings (Democratic)Chellie Pingree (Democratic)Katie Porter (Democratic)Judy Chu (Democratic)

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

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
End Surprise Billing Act of 2019 This bill requires 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
Jan 30, 2019
Introduced in House
Jan 30, 2019
Referred to the Subcommittee on Health.
Jan 30, 2019
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.
  • January 30, 2019
    Introduced in House


  • January 30, 2019
    Referred to the Subcommittee on Health.


  • January 30, 2019
    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.

Health

Emergency medical services and trauma careHospital careMedicare

End Surprise Billing Act of 2019

USA116th CongressHR-861| House 
| Updated: 1/30/2019
End Surprise Billing Act of 2019 This bill requires 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
Jan 30, 2019
Introduced in House
Jan 30, 2019
Referred to the Subcommittee on Health.
Jan 30, 2019
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.
  • January 30, 2019
    Introduced in House


  • January 30, 2019
    Referred to the Subcommittee on Health.


  • January 30, 2019
    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.
Lloyd Doggett

Lloyd Doggett

Democratic Representative

Texas

Cosponsors (37)
Marcy Kaptur (Democratic)John Garamendi (Democratic)Barbara Lee (Democratic)Robin L. Kelly (Democratic)Raúl M. Grijalva (Democratic)Mark Pocan (Democratic)James R. Langevin (Democratic)David N. Cicilline (Democratic)Ed Case (Democratic)Brian Higgins (Democratic)Carolyn B. Maloney (Democratic)Debra A. Haaland (Democratic)Joe Courtney (Democratic)Steve Cohen (Democratic)Susan A. Davis (Democratic)Thomas R. Suozzi (Democratic)Rosa L. DeLauro (Democratic)Adriano Espaillat (Democratic)Danny K. Davis (Democratic)Ro Khanna (Democratic)Ann M. Kuster (Democratic)Katie Hill (Democratic)Matt Cartwright (Democratic)John Lewis (Democratic)Pramila Jayapal (Democratic)Eleanor Holmes Norton (Democratic)Daniel Lipinski (Democratic)Tulsi Gabbard (Democratic)Diana DeGette (Democratic)Janice D. Schakowsky (Democratic)Nydia M. Velázquez (Democratic)Peter Welch (Democratic)Gwen Moore (Democratic)Alcee L. Hastings (Democratic)Chellie Pingree (Democratic)Katie Porter (Democratic)Judy Chu (Democratic)

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

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Emergency medical services and trauma careHospital careMedicare