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Amend CSSB 1731, committee report printing as follows:
(1) On page 2, line 55 insert the following between the word
"facility" and the semicolon:
"and the documented income and other resources of the consumer"
(2) On page 3, line 49 add new subsections (f) and (g) and
re-letter accordingly.
"(f) A facility shall provide an itemized statement of
billed services to a third party payor who is actually or
potentially responsible for paying all or part of the billed
services provided to a patient and who has received a claim for
payment of those services. To be entitled to receive a statement,
the third party payor must request the statement from the facility
and must have received a claim for payment. The request must be
made not later than one year after the date on which the payor
received the claim for payment. The facility shall provide the
statement to the payor not later than the 30th day after the date on
which the payor requests the statement. If a third party payor
receives a claim for payment of part but not all of the billed
services, the third party payor may request an itemized statement
of only the billed services for which payment is claimed or to which
any deduction or copayment applies.
(g) A facility in violation of this section is subject to
enforcement action by the appropriate licensing agency."
(3) On page 3, line 49, insert the phrase "or a third party
payor" between the word "consumer" and "requests".
(4) On page 3, line 69 through page 4, line 10 strike
Subsection 324.102 in its entirety and insert the following:
"Sec. 324.102. COMPLAINT PROCESS. A facility shall establish
and implement a procedure for handling consumer complaints, and
must make a good faith effort to resolve the complaint in an
informal manner based on its complaint procedures. If the
complaint cannot be resolved informally, the facility shall advise
the consumer that a complaint may be filed with the department and
shall provide the consumer with the mailing address and telephone
number of the department."
(5) On page 4, line 27, delete the word "radiology" and
replace with "imaging"
(6) On page 5 line 19, add a new Subsection (d) and re-letter
accordingly:
"(d) For services provided in an emergency department of a
hospital or as a result of an emergent direct admission, the
physician shall provide the estimate of charges required by
Subsection (c) before discharging the patient from the emergency
department or hospital, as appropriate."
(7) On page 6, line 1 after the word "CARE" delete "COST" and
replace with "REIMBURSEMENT RATE"
(8) On page 6, line 61 delete the word "costs" and replace
with "reimbursement rates"
(9) On page 7, line 11 delete the word "COST" and replace
with "REIMBURSEMENT RATE"
(10) On page 7, line 14 delete the word "cost" and replace
with "reimbursement rate"
(11) On page 7, line 18 delete the word "cost" and replace
with "reimbursement rate"
(12) In SECTION 14 of the bill, on page 12, line 22 through
line 23, delete "Subsections (a), (b), (c), and (d)" and replace
with "Subsection (h)(1)"