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A 6143

Relates to out-of-network treatment disclosure for certain surgical procedures

2025 Regular Session Introduced by Michaelle Solages

Bill A 6143 requires healthcare providers to disclose out-of-network treatment options and costs for certain surgeries, empowering patients to make informed decisions.

REFERRED TO HEALTH
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Bill Summary · A 6143

Summary of Bill A 6143

Bill Information

  • Bill Number: A 6143
  • Title: Relates to out-of-network treatment disclosure for certain surgical procedures
  • Status: Referred to Health Committee
  • Introduced On: February 26, 2025
  • Classification: Bill

Purpose and Intent

Bill A 6143 aims to enhance transparency in healthcare by requiring healthcare providers to disclose information regarding out-of-network treatment options for specific surgical procedures. The intent is to empower patients with knowledge about potential costs and insurance coverage, thereby enabling them to make informed decisions regarding their healthcare.

Key Provisions

  • Disclosure Requirements:

    • Healthcare providers must inform patients about the availability of out-of-network treatment options prior to the surgical procedure.
    • Providers are required to disclose estimated costs associated with out-of-network services, including any potential out-of-pocket expenses that may arise.

  • Surgical Procedures Covered:

    • The bill specifies certain surgical procedures that will be subject to these disclosure requirements. While the exact procedures are not detailed in the provided information, they typically include major surgeries that often involve significant costs.

  • Patient Rights:

    • Patients will have the right to receive clear and concise information about their treatment options, including the implications of choosing out-of-network services.

Who Would Be Affected

  • Patients: Individuals undergoing surgical procedures will benefit from increased transparency regarding their treatment options and associated costs.
  • Healthcare Providers: Hospitals and surgical centers will need to implement new protocols to ensure compliance with the disclosure requirements.
  • Insurance Companies: Insurers may need to adjust their policies and communication strategies to align with the new disclosure mandates.

Procedural Aspects

  • Current Status: The bill has been referred to the Health Committee for further consideration.
  • Timeline: Introduced on February 26, 2025, the bill is currently in the early stages of the legislative process. Further actions and discussions will determine its progression through the legislative body.

Related Bills

  • S 9069 (prior-session): A related bill from a previous session that may address similar issues regarding healthcare transparency.
  • S 108 (prior-session): Another prior-session bill that could have implications for healthcare policies.
  • A 6495 (prior-session): A previous bill that may also relate to patient rights and healthcare disclosures.

In summary, Bill A 6143 seeks to improve patient awareness and decision-making in surgical care by mandating clear disclosures about out-of-network treatment options and costs. As it moves through the legislative process, its implications for patients and healthcare providers will become clearer.

Compiled from official sources — confirm details with the bill’s official record.

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