H.R. 5817 · 116th Congress
Fair and Honest Advance Cost Estimate for Patients Act of 2020
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Never voted on. It didn't reach a floor vote before the 116th Congress ended, so it expired. A bill has to be introduced again to be considered in a new Congress.
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NunesSponsor1 cosponsor · 1 D
1 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.
Fair and Honest Advance Cost Estimate for Patients Act of 2020 This bill requires health care providers and private health insurance plans to provide certain estimates for the costs of services that are scheduled three or more business days in advance.
What it does: CRS summary · Introduced in House · Feb 7, 2020
Fair and Honest Advance Cost Estimate for Patients Act of 2020
This bill requires health care providers and private health insurance plans to provide certain estimates for the costs of services that are scheduled three or more business days in advance. Specifically, providers must inquire whether an individual scheduling such service is enrolled in a health plan, including a government health care program, and intends to seek benefits for the service under the plan. Within a specified time period prior to administering such service, the provider must submit to the individual’s plan, or to the individual if the individual is not enrolled in a plan, an estimate of expected charges for the service. Providers are subject to a maximum fine of $10,000 for each failure to provide such an estimate.
Within a specified time period after receiving an estimate from a provider for a service, private health insurance plans must provide the plan holder with specified benefits information that includes but is not limited to
- the provider's estimated charge,
- whether the provider is in-network,
- the plan's estimated share of the amount,
- the plan holder's estimated cost-sharing amount, and
- the estimated amount remaining to meet the plan holder's deductible or out-of-pocket maximum.
Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov
About this bill and sources
Official title: Fair and Honest Advance Cost Estimate for Patients Act of 2020
Latest action (Feb 7, 2020): Referred to the Subcommittee on Health.
Policy area: Health · Origin: House · Introduced: Feb 7, 2020
Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)
No recorded floor vote found.