New York A 5342: Prohibits hospitals, health systems, and health care providers from charging facility fees that are not covered by the patient's health insurance carrier

Bill Text

Bill Search and Legislative Information | New York State Assembly 

• 

• 

• 

• 

• 

• 

• 

• 

 Skip to main content 

 New York State Assembly

 Speaker Carl E. Heastie

 --> 
 --> 

 --> 

• 
 Assembly Members 

• 
 Legislative Info 

• 
 Public Hearings 

• 
 Speaker's Press 

• 
 Assembly Reports 

• 
 Committees & More 

• Bill Search Home
• Laws
• Legislative Calendar
• Public Hearing Schedule
• Assembly Calendars
• Assembly Committee Agenda 

 Javascript must be enabled to properly view this page. 

 Bill No.: 

• Summary 
• Actions 
• Committee&nbspVotes 
• Floor&nbspVotes 
• Memo 
• Text 
• LFIN 
• Chamber&nbspVideo/Transcript 
A05342 Summary:

BILL NOA05342A

&nbsp

SAME ASSAME AS S08039

&nbsp

SPONSORBores

&nbsp

COSPNSRDinowitz

&nbsp

MLTSPNSR

&nbsp

Amd §2830, Pub Health L

&nbsp

Prohibits hospitals, health systems, and health care providers from charging facility fees that are not covered by the patient's health insurance carrier.

Go to top A05342 Actions:

BILL NOA05342A

&nbsp

02/13/2025referred to health

04/01/2025amend (t) and recommit to health

04/01/2025print number 5342a

01/07/2026referred to health

Go to topA05342 Committee&nbspVotes:

Go to topA05342 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topA05342 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 5342--A

 2025-2026 Regular Sessions

 IN ASSEMBLY

 February 13, 2025
 ___________

 Introduced by M. of A. BORES -- read once and referred to the Committee
 on Health -- committee discharged, bill amended, ordered reprinted as
 amended and recommitted to said committee

 AN ACT to amend the public health law, in relation to prohibiting hospi-
 tals, health systems, and health care providers from charging facility
 fees that are not covered by insurance

 The People of the State of New York, represented in Senate and Assem-
 bly, do enact as follows:

 1 Section 1. This act shall be known and may be cited as the "lower
 2 hospital bills act".
 3 § 2. Section 2830 of the public health law, as added by chapter 764 of
 4 the laws of 2022, is amended to read as follows:
 5 § 2830. Regulation of the billing of facility fees. 1. For the
 6 purposes of this section, "fee" means any amount charged or billed by a
 7 provider for professional health care services provided in a hospital-
 8 based facility.
 9 2. No hospital or health system or health care provider shall bill or
 10 seek payment from a patient for a facility fee that is not covered by
 11 the patient's health insurance carrier [unless the patient was notified
 12 prior to the date of service that a facility fee would be applicable. If
 13 a health care provider enters into a business relationship with a hospi-
 14 tal or health system that will result in the provider's patients being
 15 subject to facility fees, the health care provider must notify its
 16 patients of the change and that facility fees will now be applicable to
 17 services received from the health care provider. The notice shall be
 18 provided in writing at least seven days in advance of each date of
 19 service and shall explain the amount of the fee, the purpose of the fee,
 20 whether the patient's insurance plan will pay the fee, and for uninsured
 21 patients, how to apply for financial assistance. If advance written
 22 notice is infeasible because the visit was secured less than seven days
 23 in advance, then a written notice shall be provided on the date the

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD07961-02-5

 A. 5342--A 2

 1 service is rendered. The notice shall be provided in plain language in
 2 conspicuous twelve-point bold face type and shall be available in the
 3 top six languages spoken in the hospital's service area. In no event
 4 shall a facility fee be charged for services related to the provision of
 5 preventive care service as defined by the United States Preventive
 6 Services Task Force].
 7 § 3. This act shall take effect immediately.

Go to top 

• 

 Sitemap 

 Request Information 

 Directions and Maps