Summary: H.R.5826 — 116th Congress (2019-2020)All Information (Except Text)

There is one summary for H.R.5826. Bill summaries are authored by CRS.

Shown Here:
Introduced in House (02/10/2020)

Consumer Protections Against Surprise Medical Bills Act of 2020

This bill makes a series of changes related to health care costs and billing practices. Among other things, the bill

  • applies the in-network cost-sharing amount to certain emergency and related nonemergency services that are provided out-of-network,
  • applies the in-network cost-sharing amount to nonemergency services that are provided out-of-network at an in-network facility unless specified written notice requirements are met,
  • establishes procedures for health insurance plans to negotiate reimbursement amounts paid to out-of-network providers in states without such a process,
  • requires insurance plans to establish publicly available databases that list the contact information for in-network providers and facilities,
  • requires health care providers and insurance plans to provide certain cost estimates for services scheduled at least three days in advance,
  • requires plans to continue benefits for specified long-term care when an insurance plan's contractual relationship with a provider or facility changes or terminates,
  • requires insurance plans to include specified consumer assistance and benefits information on a plan holder's membership card and maintain certain price comparison tools for in-network services,
  • establishes reporting requirements related to air ambulance services,
  • establishes a temporary income tax deduction for specified expenses resulting from out-of-network and emergency services.