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H.R. 5800

Ban Surprise Billing Act

Ban Surprise Billing Act

This bill places certain limits on the cost-sharing amount for health insurance plan holders for certain services received from out-of-network providers that are based on the median in-network rate for similar services.

The bill also establishes requirements related to the practice of billing plan holders for the difference between the out-of-network rate and the in-network rate for certain services; the bill provides for an independent dispute resolution process for services with a median contracted rate of $750 or greater, among other provisions.

Reported (Amended) by the Committee on Education and Labor. H. Rept. 116-615, Part I.

Rep. Scott, Robert C. "Bobby" [D-VA-3](D-VA)Sponsor
1 cosponsor1 R
1cosponsors4committees11actions15subjects
  1. CommitteeH12200

    Reported (Amended) by the Committee on Education and Labor. H. Rept. 116-615, Part I.

    Education and the Workforce Committee
  2. Committee5000

    Reported (Amended) by the Committee on Education and Labor. H. Rept. 116-615, Part I.

    Education and the Workforce Committee
  3. Committee

    Ordered to be Reported (Amended) by the Yeas and Nays: 32 - 13.

    Education and the Workforce Committee
  4. Committee

    Committee Consideration and Mark-up Session Held.

    Education and the Workforce Committee
  5. Committee

    Referred to the Subcommittee on Health.

    Health Subcommittee
  6. IntroReferralH11100

    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Labor, Ways and Means, and Oversight and Reform, 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.

    Oversight and Accountability Committee
  7. IntroReferralH11100

    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Labor, Ways and Means, and Oversight and Reform, 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.

    Ways and Means Committee
  8. IntroReferralH11100

    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Labor, Ways and Means, and Oversight and Reform, 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.

    Education and the Workforce Committee
  9. IntroReferralH11100

    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Labor, Ways and Means, and Oversight and Reform, 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.

    Energy and Commerce Committee
  10. IntroReferralIntro-H

    Introduced in House

  11. IntroReferral1000

    Introduced in House

Dec 2, 20208

Ban Surprise Billing Act

This bill places certain limits on the cost-sharing amount for health insurance plan holders for certain services received from out-of-network providers that are based on the median in-network rate for similar services.

The bill also establishes requirements related to the practice of billing plan holders for the difference between the out-of-network rate and the in-network rate for certain services; the bill provides for an independent dispute resolution process for services with a median contracted rate of $750 or greater, among other provisions.

Feb 7, 2020

Ban Surprise Billing Act

This bill places certain limits on the cost-sharing amount for health insurance plan holders for certain services received from out-of-network providers that are based on the median in-network rate for similar services.

The bill also establishes requirements related to the practice of billing plan holders for the difference between the out-of-network rate and the in-network rate for certain services; the bill provides for an independent dispute resolution process for services with a median contracted rate of $750 or greater, among other provisions.

Ban Surprise Billing Act — Informed