Maryland 2023 Regular Session

Maryland Senate Bill SB404

Introduced
2/1/23  
Refer
2/1/23  
Report Pass
3/15/23  
Engrossed
3/17/23  
Refer
3/20/23  
Report Pass
4/5/23  
Enrolled
4/7/23  
Chaptered
5/3/23  

Caption

Hospitals - Financial Assistance - Medical Bill Reimbursement Process

Impact

This bill modifies existing laws pertaining to hospital financial assistance policies, adding new stipulations on how reimbursements should be handled. Hospitals are now obligated to reimburse state entities for compliance costs and are held accountable to ensure that patients receive refunds when eligible. Critics of the bill have noted that while it is a step forward in protecting consumers, hospitals may face additional bureaucratic hurdles and challenges in executing these new requirements. Proponents argue that it enhances transparency and accountability in hospital billing practices, particularly for low-income patients.

Summary

SB404, titled 'Hospitals – Financial Assistance – Medical Bill Reimbursement Process', is a legislative act designed to improve the financial assistance procedures for patients who have paid out-of-pocket costs in hospitals but were eligible for free care. The bill requires hospitals to create a systematic process for identifying patients who have spent more than $25 on services but should have qualified for assistance. It mandates that hospitals reimburse these eligible patients and outlines how data sharing among state agencies should occur for effective implementation of this process. Furthermore, failure to comply with these requirements may subject hospitals to penalties as described in the Maryland Consumer Protection Act.

Sentiment

The sentiment surrounding SB404 appears to be generally positive among advocates for healthcare reform, who view it as an important measure for protecting vulnerable patients from unfair medical billing practices. However, some stakeholders within the healthcare industry express concerns regarding the operational burden this may place on hospitals, fearing it could lead to increased healthcare costs overall or additional administrative overhead.

Contention

Notable points of contention in discussions about SB404 center on its implementation and potential impact on hospital operations. While the bill aims to facilitate patient reimbursements, there are concerns about how effectively hospitals can adhere to the new requirements without diverting resources away from patient care. The provision for imposing fines on hospitals for non-compliance has also been a topic of debate, as some argue that it could result in hospitals prioritizing financial penalties over providing care.

Companion Bills

MD HB333

Crossfiled Hospitals - Financial Assistance - Medical Bill Reimbursement Process

Previously Filed As

MD HB333

Hospitals - Financial Assistance - Medical Bill Reimbursement Process

MD HB1336

Hospitals - Financial Assistance - Medical Bill Reimbursement

MD HB694

Hospitals - Financial Assistance - Medical Bill Reimbursement

MD SB944

Hospitals - Financial Assistance - Medical Bill Reimbursement

MD HB268

Hospitals - Financial Assistance and Collection of Debts - Policies

MD SB981

Hospitals - Financial Assistance and Collection of Debts - Policies

MD HB328

Hospitals - Financial Assistance Policies - Revisions

MD SB295

Maryland Medical Assistance Program - Emergency Service Transporters - Reimbursement

MD HB44

Maryland Medical Assistance Program – Emergency Service Transporters – Reimbursement

MD HB1376

Maryland Medical Assistance Program, Maryland Children's Health Program, and Health Insurance - Special Pediatric Hospitals

Similar Bills

MD HB333

Hospitals - Financial Assistance - Medical Bill Reimbursement Process

MD HB483

Homeowners' Property Tax Credit - Identification of Eligible Homeowners

MD HB694

Hospitals - Financial Assistance - Medical Bill Reimbursement

MD SB252

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MD HB701

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MD HB995

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MD SB920

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MD HB709

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