23 R.I. Gen. Law § 23-17-61. Written estimates for hospital medical services: Health Care Facility Licensing Act of Rhode Island – Rhode Island
Status: Enacted Year Enacted: 2014
Requires that a hospital provide to a prospective patient, the requested cost estimate of their requested anticipated hospital services within five business days of request and the cost of any facility fee.
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A 3470 (see companion bill S 2521) – New York
Introduced: 2021 Status: In Process
Relates to medical billing and debt (Part A); relates to defining certain terms (Part B); relates to standardized consolidated itemized general hospital bills (Part C); relates to regulation of the billing of facility fees (Part …
Cal. Health & Safety Code §§ 127125 through 127300: Health Planning – California
Status: Enacted Year Enacted: 1995
Any reference in any code to the Health Planning Council, the Health Review and Program Council, or the State Board of Public Health, with respect to functions thereof that are advisory, shall be deemed a …
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Colo. Rev. Stat. § 25-3-309. Hospital fees: County Hospitals – Establishment – Hospitals – Colorado
Status: Enacted Year Enacted: 1943
Allows county hosptials to charge fees for services. These fees include fees for laboratory tests and nursing or medical care.
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Colo. Rev. Stat. § 25-3.5-705. Creation of fee – creation of trauma system cash fund: Statewide Trauma Care System Act – Colorado
Status: Enacted Year Enacted: 1995
Authorizes the Board to establish a schedule of fees for the direct and indirect costs incurred at trauma facilities.
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Colo. Rev. Stat. §§ 25-49-101 through 25-49-105: Transparency in Health Care Prices Act – Colorado
Status: Enacted Year Enacted: 2017
Health care facilities shall make available to the public the health care prices for (at least) the 50 most used DRG codes and the 25 most used outpatient CPT codes. The document shall be updated …
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Conn. Gen. Stat. § 19a-508c. Hospital and health system facility fees charged for outpatient services at hospital-based facilities. Notice re establishment of hospital-based facility at which facility fees billed: Health Care Institutions – Connecticut
Status: Enacted Year Enacted: 2014
If a hospital or health system charges a facility fee utilizing a current procedural terminology evaluation and management (CPT E/M) code for outpatient services provided at a hospital-based facility where a professional fee is also …
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Conn. Gen. Stat. § 19a-755b. Consumer health information internet web site: Health Information Technology – Connecticut
Status: Enacted Year Enacted: 2017
Describes expectations for the consumer health information Internet web site including, information comparing quality, price and cost of health care services, be designed to assist consumers and instituttional purchasers in making informed decisions regarding their …
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Conn. Gen. Stat. § 38a-477bb. Cost-sharing re facility fees: Health Insurance: In General – Connecticut
Status: Enacted Year Enacted: 2015
Requires each health insurer that delivers, issues, amends an individual or group health plan on or after January 1, 2016 and includes a contract with a hospital or health system, shall not impose any separate …
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Conn. Gen. Stat. §§ 20-7b & 20-7f. Unfair billing practices: Healing Arts – Connecticut
Status: Enacted Year Enacted: 1998
States that when any provider requests payment from an enrollee, other than the agreed to out-of-pocket costs, for health care services covered by the plan, facility fee, emergency services covered by the plan and rendered …
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D.C. Code § 31-3105. Exemptions: Drug Abuse, Alcohol Abuse, and Mental Illness Insurance Coverage – District of Columbia
Status: Enacted Year Enacted: 1987
) Methods of determining levels of payment or reimbursement for services, or for the type of facility charge eligible for payment or reimbursement under this chapter, and shall be consistent with those for physical illnesses …
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Fla. Stat. § 395.301. Price transparency; itemized patient statement or bill; patient admission status notification:Hospitals and Other Licensed Facilities – Florida
Status: Enacted Year Enacted: 1982
A facility licensed under this chapter shall provide timely and accurate financial information and quality of service measures to patients and prospective patients of the facility, or to patients’ survivors or legal guardians, as appropriate. …
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H 1046 – Massachusetts
Introduced: 2019 Status: Inactive / Dead
An Act relative to out-of-network billing. Establishes disclosure requirements for out-of-netowrk providers, reimbursment schedules for health plans to pay out-of-network providers for services provided for enrollees at in-netowrk facilities, an insured shall not be liable …
H 1187 (see companion bill S 771) – Massachusetts
Introduced: 2023 Status: In Process
An Act providing financial transparency for patients receiving care at hospital-based outpatient facilities
H 932 – Massachusetts
Introduced: 2019 Status: Inactive / Dead
An Act relative to out of network billing. The bill is similar to H1046 but refers to different reimbursment schedules, and adds a mediation mechanism. This bill has received similar support to H1046, and less …
H 957 – Massachusetts
Introduced: 2019 Status: Inactive / Dead
An Act to protect consumers from surprise billing. The bill will direct the healthcare commissioner to recommend out-of-network reimbursment rate for emergency and non emergency services