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Fair and Honest Advance Cost Estimate for Patients Act of 2020

USA116th CongressHR-5817| House 
| Updated: 2/7/2020
Devin Nunes

Devin Nunes

Republican Representative

California

Cosponsors (1)
Bill Pascrell (Democratic)

Ways and Means Committee, Health Subcommittee, Energy and Commerce Committee, Education and Workforce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
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.
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Timeline
Feb 7, 2020
Introduced in House
Feb 7, 2020
Referred to the Subcommittee on Health.
Feb 7, 2020
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Labor, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  • February 7, 2020
    Introduced in House


  • February 7, 2020
    Referred to the Subcommittee on Health.


  • February 7, 2020
    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Labor, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Health

Related Bills

  • HR 116-5826: Consumer Protections Against Surprise Medical Bills Act of 2020
Consumer affairsEmployee benefits and pensionsHealth care costs and insuranceHealth care coverage and accessHealth information and medical records

Fair and Honest Advance Cost Estimate for Patients Act of 2020

USA116th CongressHR-5817| House 
| Updated: 2/7/2020
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.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Feb 7, 2020
Introduced in House
Feb 7, 2020
Referred to the Subcommittee on Health.
Feb 7, 2020
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Labor, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  • February 7, 2020
    Introduced in House


  • February 7, 2020
    Referred to the Subcommittee on Health.


  • February 7, 2020
    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Labor, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Devin Nunes

Devin Nunes

Republican Representative

California

Cosponsors (1)
Bill Pascrell (Democratic)

Ways and Means Committee, Health Subcommittee, Energy and Commerce Committee, Education and Workforce Committee

Health

Related Bills

  • HR 116-5826: Consumer Protections Against Surprise Medical Bills Act of 2020
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Consumer affairsEmployee benefits and pensionsHealth care costs and insuranceHealth care coverage and accessHealth information and medical records