Fifty-third Legislature                                                   Finance

First Regular Session                                                   S.B. 1441

 

PROPOSED AMENDMENT

SENATE AMENDMENTS TO S.B. 1441

(Reference to the proposed Fann s/e amendment dated 02/13/17; 11:23 a.m.)

 


Page 2, line 8, strike "balance" insert "surprise out‑of‑network"

Line 10, strike "balance"

Strike lines 13 through 15

Renumber to conform

Page 3, between lines 6 and 7, insert:

"12.  "Surprise out‑of‑network bill" means a bill for a health care service or durable medical equipment that was provided in a network facility by a health care provider that is not a contracted provider if the enrollee did not know that the health care provider that performed the service or provided the equipment was not a contracted provider or if a contracted provider was not available and it was impractical to wait for a contracted provider and the patient did not knowingly elect to obtain an out‑of‑network service."

Line 7, strike "Scope" insert "Applicability"

Strike lines 8 through 12

Line 17, strike "health care facilities" insert "notice"

Line 18, strike "; balance bills"

Line 19, after "emergency" insert "and if requested by the enrollee"; after "provider" strike "or"

Strike line 20

Line 21, strike "facility may not issue balance bills to an enrollee unless"

Lines 22 and 23, strike "the health care provider or health care facility discloses" insert "shall disclose"

Line 31, after "B." strike remainder of line

Page 3, line 32, strike "subsection A of this section shall include a" insert "A health care facility shall provide the enrollee with"

Strike lines 35 through 38

Page 4, strike lines 1 through 4

Line 5, strike "balance" insert "surprise out‑of‑network"

Line 6, strike "balance" insert "surprise out‑of‑network"

Line 7, strike "balance" in two places

Line 9, strike "balance" insert "surprise out‑of‑network"

Line 11, strike "balance"

Strike lines 14 through 16, insert:

"2.  The enrollee received a surprise out‑of‑network bill."

Line 17, strike "balance" insert "surprise out‑of‑network"

Lines 21, 25 and 36, strike "balance" insert "surprise out‑of‑network"

Page 5, line 6, strike "balance" insert "surprise out‑of‑network"

Line 8, strike "balance"

Lines 11 and 17, strike "balance" insert "surprise out‑of‑network"

Page 6, line 15, strike "balance" insert "surprise out‑of‑network"

Between lines 22 and 23, insert:

"N.  Notwithstanding any informal settlement or the arbitrator's decision under this article, the enrollee is responsible for only the amount of the enrollee's cost sharing requirements."

Reletter to conform

Amend title to conform


 

KAREN FANN

 

1441FANN3

02/14/2017

1:34 PM

C: MJH