Establishes the transparency in health care fees act requiring health care providers to submit bills to patients prior to performing services.
TITLE OF BILL: An act to amend the public health law, in relation to enacting the "transparency in health care fees act"
PURPOSE OR GENERAL IDEA OF BILL:
To clarify costs of healthcare procedures to patients before they undertake medical services.
SUMMARY OF SPECIFIC PROVISIONS:
Section 1 titles the bill.
Section 2 amends article 29-D of the public health law by adding a new title 4 to define which health care bills will be covered by the legislation and to require all health care providers to advise patients in writing of the fee they will be charged for procedures before the services are rendered if the fee will not be paid for by insurance.
Section 3 provides for the effective date.
Costs for healthcare procedures are often not discussed with patients until after they have received treatment or services. This practice obscures the true cost of treatment to patients, leaving many unaware of the amount of medical bills they are incurring and what their insurance will pay for. This legislation brings clarity to medical billing and allows healthcare consumers to know exactly what they will be charged for services before they undergoing treatment.
This act shall take effect immediately.
STATE OF NEW YORK ________________________________________________________________________ 7124 IN SENATE April 30, 2014 ___________Introduced by Sen. HOYLMAN -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the public health law, in relation to enacting the "transparency in health care fees act" THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Short title. This act shall be known and may be cited as the "transparency in health care fees act". S 2. Article 29-D of the public health law is amended by adding a new title 4-A to read as follows: TITLE 4-A BILLING SECTION 2999-L. HEALTH CARE BILLS. S 2999-L. HEALTH CARE BILLS. 1. FOR PURPOSES OF THIS TITLE "HEALTH CARE PROVIDER" SHALL MEAN A PRACTITIONER IN AN INDIVIDUAL PRACTICE, GROUP PRACTICE, PARTNERSHIP, PROFESSIONAL CORPORATION OR OTHER AUTHOR- IZED FORM OF ASSOCIATION, A HOSPITAL OR OTHER HEALTH CARE INSTITUTION ISSUED AN OPERATING CERTIFICATE PURSUANT TO THIS CHAPTER OR THE MENTAL HYGIENE LAW, A CERTIFIED HOME HEALTH AGENCY OR A LICENSED HOME CARE SERVICES AGENCY, AND ANY OTHER PURVEYOR OF HEALTH OR HEALTH RELATED ITEMS OR SERVICES INCLUDING BUT NOT LIMITED TO A CLINICAL LABORATORY, A PHYSIOLOGICAL LABORATORY, A PHARMACY, A PURVEYOR OF X-RAY OR IMAGING SERVICES, A PURVEYOR OF PHYSICAL THERAPY SERVICES, A PURVEYOR OF HEALTH OR HEALTH RELATED SUPPLIES, APPLIANCES OR EQUIPMENT, OR AN AMBULANCE SERVICE. 2. PRIOR TO PERFORMING ANY HEALTH CARE SERVICES, ALL HEALTH CARE PROVIDERS SHALL ADVISE PATIENTS IN WRITING OF THE FEE TO BE CHARGED TO THE PATIENT FOR THE SERVICES TO BE RENDERED IN THE EVENT SUCH FEE IS NOT PAID FOR BY INSURANCE. S 3. This act shall take effect immediately.EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD05105-01-3