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2017 House Bill 2114: Protecting consumers from charges for out-of-network health services
Introduced by Rep. Eileen Cody (West Seattle) (D) on February 15, 2017
  Official Text and Analysis.
Referred to the House Health Care & Wellness Committee on February 15, 2017
Substitute offered in the House on February 17, 2017
Establishes the balance billing protection act. Addresses the charges for out-of-network health services.
Referred to the House Appropriations Committee on February 17, 2017
Amendment offered by Rep. Joe Schmick (Colfax) (R) on March 6, 2017
Clarifies that an out-of-network provider or facility may not balance bill a covered person for the specified health care services. Modifies the nonemergency services for which balance billing is prohibited by removing reference to invasive medical procedures and removing services by an out-of-network provider without the covered person's consent. (2) Applies cost-sharing and dispute resolution provisions to health care facilities, in addition to health care providers. Requires carriers to calculate the in-network cost-sharing rate using the carrier's median (rather than average) contracted rate. Requires carriers to make payments directly to providers and facilities. (3) Requires carriers to pay a billed amount of less than $300. Permits, when the billed amount is $300 or more, a carrier and out- of-network provider or facility to use mediation or, if the amount in dispute is $2000 or more, arbitration. Requires mediation expenses to be divided equally among the carrier, provider, and facility, if the amount in dispute is less than $2000.
The amendment passed by voice vote in the House on March 6, 2017
Received in the Senate on March 8, 2017
Referred to the Senate Health Care Committee on March 8, 2017
Referred to the Senate Ways & Means Committee on March 29, 2017
Referred to the House Rules Committee on May 23, 2017
Received in the House on May 23, 2017
Received in the House on June 21, 2017
Referred to the House Rules Committee on June 21, 2017
Amendment offered by Rep. Eileen Cody (West Seattle) (D) on February 13, 2018
Striker amendment. Modifies requirements related to coverage of emergency services provided at an out-of-network emergency department. ? Regulates the practice of balance billing by out-of-network providers and facilities, and authorizes arbitration and mediation of balance billing disputes. ? Requires health care facilities, providers, and carriers to provide patients with information about network status. ? Requires carriers to treat hospitals and ambulatory surgical facilities as out-of- network if a certain percentage of providers who provide surgical or ancillary services do not contract with the same carrier.
The amendment passed by voice vote in the House on February 13, 2018
Amendment offered by Rep. Joe Schmick (Colfax) (R) on February 13, 2018
Requires the Washington State Institute for Public Policy to study and make recommendations regarding balance billing laws in other states. Removes provisions regarding: (a) banning balance billing for certain services, (b) establishing a payment methodology for out-of-network services, (c) establishing a dispute resolution process, (d) disclosures to patients regarding balance billing, (e) transparency regarding the network status of providers, and (f) enforcement.
The amendment failed by voice vote in the House on February 13, 2018
Received in the Senate on February 16, 2018
Referred to the Senate Health & Long-Term Care Committee on February 16, 2018
Referred to the Senate Ways & Means Committee on February 23, 2018
Referred to the Senate Rules Committee on February 26, 2018

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