The Committee on Medical Affairs proposes the following amendment (SR-4069.CEM0001S):

Amend the bill, as and if amended, SECTION 1, Section 44-7-327(A), by adding an item to read:

  (4) "Itemized bill" means a document that a healthcare facility provides to a patient outlining services provided and associated charges at the general department or service level.

Amend the bill further, SECTION 1, by striking Section 44-7-327(B)(1) and inserting:

 (B)(1) Beginning January 1, 20272026, a healthcare facility that requests payment from a patient after providing a healthcare service or related supply to the patient shall:
   (a) provide to the patient an electronic version of the itemized bill of the alleged remittance sought for each service services and supply supplies provided to the patient during the patient's visit to the healthcare facility; orand
   (b) provide to the patient a copy of the written itemized bill upon request of the alleged remittance sought for serviceseach service and supply supplies provided to the patient during the patent's visit to the healthcare facility.

Amend the bill further, SECTION 1, by striking Section 44-7-327(B)(2)(a) and (b) and inserting:

  (2)(a) The healthcare facility must notify the patient in clear and conspicuous language, electronically or and in writing, if requested, of the availability of obtaining an itemized copy electronically or in writing pursuant to subsection (B)(1) and must offer the patient the ability to indicate the preferred form of the itemized bill.
  (b) A patient may waive the right to receive an itemized bill electronically or in writing. An initial waiver of the right to an itemized bill does not prevent the patient from later receiving an itemized bill upon request. The healthcare facility must notify the patient of their right to later request an itemized bill even if the patient initially waived their right to receive an itemized bill.

Amend the bill further, SECTION 1, by striking Section 44-7-327(B)(3)(a) and inserting:

   (a) a plain language description, in accordance with the most current billing reading-level requirements and guidance provided by the Centers for Medicare and Medicaid Services, for each distinct healthcare service services and quantity of supply supplies the healthcare facility provided to the patient as provided for in Section 44-7-3237(A)(3);

Amend the bill further, SECTION 1, by striking Section 44-7-327(B)(3)(c) and inserting:

   (c) if the healthcare facility sought or is seeking reimbursement from a third party, any billing code submitted to the third-party, and the patient's responsibility amount due to the healthcare facility pursuant to the third-party insurer's explanation of benefits electronic remittance advice the provider received from the third party under applicable law.

Renumber sections to conform.

Amend title to conform.