Health Care – As introduced, authorizes healthcare facilities to provide an electronic method for insureds or their representatives to acknowledge and sign the statutorily required notice that the insured agrees to receive medical services by an out-of-network provider and will receive a bill for the amount unpaid by the insured’s insurer. – Amends TCA Title 33; Title 56; Title 63 and Title 68. (1) Establish an independent dispute resolution process that ensures a fair reimbursement for out-of-network services;
(2) Implement a balance bill prohibition for emergency services in an out-of-network facility and for facility-based non-emergency services; and
(3) Creates opportunities for transparency and notice to a patient of unexpected medical bills that arise from receiving care from out-of-network providers. Subject to certain exceptions, this amendment generally applies to health benefit plans, health carriers, out-of-network facility-based physicians, and healthcare facilities. This amendment only applies to entity providing or administering an ERISA self-funded employee welfare plan if the plan voluntarily opts-in.