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HB 4963 – Illinois
Introduced: 2020   Status: Inactive / Dead  
INS-TELEHEALTH REIMBURSEMENT. Amends the Illinois Insurance Code. Requires an individual or group policy of accident and health insurance that provides telehealth services to provide reimbursement for such services at the same rate that such services …

HB 5248 – Illinois
Introduced: 2020   Status: Inactive / Dead  
MEDICAID-MANAGED CARE-RATES. Amends the Illinois Public Aid Code. In provisions concerning payment rates for nursing facilities, provides that a benchmark rate equal to the facility’s fee-for-service rate shall be established for any facility receiving payment …

HB 5485 – Connecticut
Introduced: 2022   Status: Enacted  
If a hospital or health system charges a facility fee utilizing a current procedural terminology evaluation and management (CPT E/M) code or assessment and management (CPT A/M) code for outpatient services provided at a hospital-based …

HB 5487 – Connecticut
Introduced: 2020   Status: Inactive / Dead  
To make various revisions to hospital or health system facility fees.

HB 6001 – Connecticut
Introduced: 2020   Status: Enacted  
An act concerning telehealth. This act modifies requirements for the delivery of telehealth services and insurance coverage of these services until March 15, 2021. Among other things, it: 1. expands the types of health providers …

HB 6488 – Connecticut
Introduced: 2021   Status: Inactive / Dead  
AN ACT CONCERNING THE OFFICE OF HEALTH STRATEGY’S RECOMMENDATIONS REGARDING VARIOUS REVISIONS TO HOSPITAL OR HEALTH SYSTEM FACILITY FEES. To make various revisions to hospital or health system facility fees.

HB 747 – Montana
Introduced: 2019   Status: Inactive / Dead  
Regulating pricing by certain health care facilities

HB 770 – Virginia
Introduced: 2022   Status: Inactive / Dead  
Freestanding emergency departments. Requires the Board of Health to promulgate regulations related to freestanding emergency departments, defined in the bill as facilities located in the Commonwealth that (i) provide emergency services, (ii) are owned and …

HB 849 – Maryland
Introduced: 2019   Status: Inactive / Dead  
Requiring certain hospitals to provide each patient with written notice that includes certain information related to outpatient facility fees that are charged for services provided at the hospital; requiring the Health Education and Advocacy Unit …

HB 915 (see companion bill SB 632) – Maryland
Introduced: 2020   Status: Enacted   Year Enacted: 2020
Health Facilities – Hospitals – Disclosure of Outpatient Facility Fees (Facility Fee Right-to-Know Act). Requiring certain hospitals to provide each patient with a certain written notice related to outpatient facility fees that are charged for …

HF 685 (see companion bill SF 131) – Minnesota
Introduced: 2019   Status: Inactive / Dead  
Clinic facility fee disclosure required. This bill requires a provider-based clinic to notify patients, before delivering nonemergency services, if it charges a facility fee and that such a fee may result in higher out-of-pocket expenses …

La. Rev. Stat. Ann. §§ 22:1871 through 22:1881: Health Care Consumer Billing and Disclosure Protection Act – Louisiana
Status: Enacted   Year Enacted: 2003
Statutes require bills and activity statements received by an enrollee to contain explicit language and requires a health insurance issuer to clearly identify the amount due from the enrollee and the reasons therefor when determined …
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LD 1795 – Maine
Introduced: 2023   Status: Enacted  
This bill prohibits certain health care providers from charging, billing or collecting a facility fee in certain situations and requires annual reporting on the amount of facility fees charged or billed.

LD 2271 – Maine
Introduced: 2024   Status: Enacted  
This bill proposes new requirements for health care entities in the state of Maine relating to facility fees. The term “facility fee” refers to a fee charged or billed by a health care provider for …

Mass. Gen. Laws ch. 32A, § 27. Toll-free telephone number and website providing customers with estimated or maximum allowed amount or charge for proposed admission, procedure or service: Contributory Group General or Blanket Insurance for Persons in the Service of the Commonwealth – Massachusetts
Status: Enacted   Year Enacted: 2012
Generally requires carriers or third party administrators contracting with the commisioner to provide a toll-free telephone number and website that enables consumers to request and obtain estimated or maximum allowed amount or charge for a …
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Mass. Gen. Laws ch. 6D, § 6. Payment by acute hospital, ambulatory surgical center or surcharge payor for estimated expenses of commission: Health Policy Commission – Massachusetts
Status: Enacted   Year Enacted: 2012
Requires each acute hospital, ambulatory surgical center and surcharge payor shall pay to the commonwealth an amount for the estimated expenses of the commission.
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