VA HB1546 | 2020 | Regular Session

Status

Spectrum: Moderate Partisan Bill (Democrat 4-1)
Status: Introduced on January 10 2020 - 25% progression, died in chamber
Action: 2020-02-04 - Incorporated by Labor and Commerce
Text: Latest bill text (Introduced) [HTML]

Summary

Health benefit plans; bills for emergency services; surprise bills; dispute resolution. Requires the Commissioner of the Bureau of Insurance to certify independent dispute resolution entities to resolve disputes arising from surprise bills for non-emergency health care services and for emergency service provided by non-participating providers. The measure implements "baseball-style" arbitration to resolve disputes between health carriers and physicians. Under this approach, each party submits a proposed dollar amount to the independent dispute resolution entity, who then chooses one as the appropriate payment amount. The measure provides that when an insured assigns benefits for a surprise bill or a bill for emergency services in writing to a non-participating physician who knows the insured is covered under a health benefit plan, the non-participating physician shall not bill the insured except for any applicable coinsurance, copayment, or deductible that would be owed if the insured utilized a participating physician.

Tracking Information

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Title

Health benefit plans; bills for emergency services, surprise bills, dispute resolution.

Sponsors


History

DateChamberAction
2020-02-04HouseIncorporated by Labor and Commerce
2020-01-30HouseSubcommittee recommends continuing to 2021 by voice vote
2020-01-16HouseAssigned L & C sub: Subcommittee #2
2020-01-10HouseReferred to Committee on Labor and Commerce
2020-01-10HousePresented and ordered printed 20104464D

Same As/Similar To

HB1251 (Similar To) 2020-04-10 - Governor: Acts of Assembly Chapter text (CHAP1080)

Code Citations

ChapterArticleSectionCitation TypeStatute Text
3823445(n/a)See Bill Text
3823465(n/a)See Bill Text
3823472(n/a)See Bill Text

Virginia State Sources


Bill Comments

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