VA SB1362 | 2019 | Regular Session

Status

Spectrum: Partisan Bill (Republican 1-0)
Status: Introduced on January 8 2019 - 25% progression, died in chamber
Action: 2019-01-31 - Passed by indefinitely in Commerce and Labor with letter (15-Y 0-N)
Text: Latest bill text (Comm Sub) [HTML]

Summary

Health benefit plans; balance billing for ancillary services. Prohibits an out-of-network provider from balance billing a covered person for the costs of an ancillary service when an in-network provider referred the covered person to the out-of-network provider unless (i) the referring in-network provider provided the covered person with a notice of liability for the balance; (ii) the out-of-network provider, prior to providing an ancillary service to the covered person, provided a good faith estimate of the out-of-network provider's charges upon request; (iii) the out-of-network provider provided the covered person with a notice of liability for the balance; and (iv) the covered person acknowledged, by signing the out-of-network provider's notice of liability for the balance, that he is aware that using the out-of-network provider may result in his being balance billed. The prohibition on balance billing applies to amounts in excess of the allowed amount, which is the amount that a carrier is obligated to pay, pursuant to the terms of the covered person's health benefit plan, to a covered person for ancillary services provided by an out-of-network provider, net any copayment, deductible, or other cost-sharing amount.

Tracking Information

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Title

Health benefit plans; balance billing for ancillary services.

Sponsors


Roll Calls

2019-01-31 - Senate - Senate: Passed by indefinitely in Commerce and Labor with letter (15-Y 0-N) (Y: 15 N: 0 NV: 0 Abs: 0) [PASS]

History

DateChamberAction
2019-01-31SenatePassed by indefinitely in Commerce and Labor with letter (15-Y 0-N)
2019-01-31SenateCommittee substitute printed to LIS only 19106141D-S1
2019-01-08SenateReferred to Committee on Commerce and Labor
2019-01-08SenatePrefiled and ordered printed; offered 01/09/19 19103739D

Code Citations

ChapterArticleSectionCitation TypeStatute Text
3823407.13:3(n/a)See Bill Text

Virginia State Sources


Bill Comments

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