Hospitals; financial assistance for uninsured patient, payment plans.
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HB 1071 — Hospitals; financial assistance for uninsured patient, payment plans.
Last action — Approved by Governor-Chapter 678 (effective 7/1/22)
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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✓Passed House of Delegates
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✓Passed Senate
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced January 12, 2022. Enacted.
Signed by Governor Glenn Youngkin (Republican) on April 11, 2022.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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4 sponsors
1 primary, 3 co-sponsors signed on.
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Mixed recorded votes
10 passed, 1 failed in recorded votes so far.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Summary
Hospitals; financial assistance; payment plans. Requires hospitals to make reasonable efforts to screen every uninsured patient, defined in the bill, to determine whether the individual is eligible for medical assistance pursuant to the state plan for medical assistance or for financial assistance under the hospital's financial assistance policy and to inform every uninsured patient who receives services at the hospital and who is determined to be eligible for assistance under the hospital's financial assistance policy of the option to enter into a payment plan with the hospital. The bill also prohibits hospitals from engaging in extraordinary collection actions to recover a debt for medical services against any patient unless the hospital has made all reasonable efforts to determine whether the patient qualifies for medical assistance pursuant to the state plan for medical assistance or is eligible for financial assistance under the hospital's financial assistance policy and requires hospitals to annually report data and information regarding the amount of charity care, discounted care, and financial assistance provided under the hospital's financial assistance policy and the amount of uncollected bad debt. This bill is identical to SB 201.
Bill Text
What changed in the latest version
145 added · 137 removedPlain-language change summary
The changes to the bill include clarifications and specific sections added to the Code of Virginia related to hospitals and their financial assistance policies. Specifically, a new section numbered 32.1-23.5 has been added to require the Commissioner to report annually on the amounts of charity care, discounted care, and uncollected bad debt from payment plans. This amendment ensures that there is transparency regarding the financial assistance provided by hospitals and how bad debt is handled, impacting how these entities communicate their financial practices to the public.
SESSION ENROLLED VIRGINIA ACTS OF ASSEMBLY ––-- 2022 SESSION CHAPTER E678 An Act to amend and reenact §§ 32.1-137.01 and 32.1-276.5 of the Code of Virginia and to amend the Code of Virginia by adding in Article 3 of Chapter 1 of Title 32.1 a section numbered 32.1-23.5 and by adding in Article 1 of Chapter 5 of Title 32.1 a section numbered 32.1-137.09, relating to.5to and hospitals;
O L [H 1071] L Approved EApril 11, 2022 Be it enacted by the General Assembly of Virginia:
D1. the Code of Virginia is amended by adding in Article 3 of Chapter 1 of Title 32.1 a section that numbered 32.1-23.5 and by adding in Article 1 of Chapter 5 of Title 32.1 a section numbered 32.1-137.09 as follows:
§That 32.1-23.5.§§ 32.1-137.01 and 32.1-276.5 of the Code of Virginia are amended and reenacted and that the Code of Virginia is amended by adding in Article 3 of Chapter 1 of Title 32.1 a section numbered 32.1-23.5 and by adding in Article 1 of Chapter 5 of Title 32.1 a section numbered 32.1-137.09 as follows:
ReportingThe Commissioner shall report annually by November 1 to the Chairmen of certainthe dataHouse Committees on Appropriations and Health, Welfare and Institutions and the Senate Committees on Finance and Appropriations and Education and Health regarding data collected pursuant to subsection F of § 32.1-276.5, including the value of (i) the amount of charity care, discounted care, or other financial assistance.assistance provided by each hospital under its financial assistance policy that is required to be reported in accordance with subsection F of § 32.1-276.5 and (ii) the amount of uncollected bad debt, including any uncollected bad debt from payment plans entered into in accordance with subsection C of § 32.1-137.09.
The Commissioner shall report annually by November 1 to the Chairmen of the House Committees on Appropriations and Health, Welfare and Institutions and the Senate Committees on Finance and Appropriations and Education and Health regarding data collected pursuant to subsection F of H § 32.1-276.5,32.1-137.01. including the value of (i) the amount of charity care, discounted care, or other 1inancial in accordance with subsection F of § 32.1-276.5 and (ii) the amount of uncollected bad debt, includingrted any uncollected bad debt from payment plans entered into in accordance with subsection C of E § 32.1-137.09.
R § 32.1-137.01.
Information regarding specific eligibility criteria and procedures for applying for charity care shall also be (i) provided to a patient at the time of admission or discharge, or at the time services are provided,;
(ii) included with any billing statements sent toionto uninsured patients,;
A.
As used in this section:
"Uninsured patient" means a patient who does not have any health insurance, third-party assistance, medical savings account, or claims against third parties covered by insurance, is not covered under workers' compensation, a health benefit plan as defined in § 38.2-3438, or an employee welfare benefit plan as defined in § 3(1) of the Employee Retirement Income Security Act of 1974, or does not receive benefits under Title XVIII or XIX of the Social Security Act or 10 U.S.C.
or any other form of coverage from private insurance or federal, state, or local government medical assistance proB.programs.
B.
The amount of monthly payments and the term of the payment to the payment plan shall notbe exceeddetermined thebased maximumupon judgmentthe ratepatient's ofability interest pursuant to §pay. 6.2-302.
ThentAny hospitalinterest on amounts owed pursuant to the payment plan shall not chargeexceed anythe feesmaximum relatedjudgment torate theof paymentinterest plan.pursuant to § 6.2-302.
The paymenthospital plan shall allownot ofcharge 3any prepaymentfees ofrelated amountsto owedthe withoutpayment penalty.plan.
The payment plan shall allow prepayment of amounts owed without penalty.
Every hospital shall develop a process by which either an uninsured patient who agrees to a of 3 payment plan pursuant to subsection C or the hospital may request and shall be granted the opportunity to renegotiate such payment plan.
(iii) the specific services delivered to patients that are reported as ofcharity 3care servicerecipients; represents.
Theand value(iv) of charity care reported shall be based on the medicalportion care facility's each submission of applicable Diagnosis Related Group codes and Current Procedural Terminology codesE aligned with methodology utilized by the Centerstotal foramount Medicareof andsuch Medicaidcharity Servicescare forprovided reimbursementthat undereach Titleservice XVIIIrepresents. of the Social Security Act, 42 U.S.C.
The value of charity care reported shall be based on the medical care facility's submission of applicable Diagnosis Related Group codes and Current Procedural Terminology codes aligned with methodology utilized by the Centers for Medicare and Medicaid Services for reimbursement under Title XVIII of the Social Security Act, 42 U.S.C.
Notwithstanding the foreRoing,foregoing, of 3 every nursing home as defined in § 32.1-123 for which a certificate of public need with conditions withimposed regulationspursuant ofto the§ Board..432.1-102.4 is issued shall report data on utilization and other data in aOcordanceaccordance Awith medicalregulations care facility that fails to report data required by this subsection shall be subject to a civil penalty of up to $100 per day per violation, which shall be collected by the CommissionerBoard. and pLid into the Literary Fund.
A medical care facility that fails to report data required by this subsection shall be subject to a civil penalty of up to $100 per day per violation, which shall be collected by the Commissioner and paid into the Literary Fund.
Every continuing care retirement community established pursuant to Chapter 49 (§ 38.2-490E38.2-4900 et seq.) of Title 38.2 that includes nursing home beds shall report data on utilization of such nursing home beds to the Commissioner, who shall contract with the nonprofit organization authorized under thisngthis home chapter to collect and disseminate such data.
Every hospital that receives a disproportionate share hospital adjustment pursuant to § 1886(d)(5)(F) of the Social Security Act shall report, in accordance with regulations of the Board consistent with recommendations of the nonprofit organization in its strategic plan submitted and provided pursuant to § 32.1-276.4, the number of inpatient days attributed to patients eligible for Medicaid but not Medicare Part A and the total amount of the disproportionate share hospital adjustment received.
H F.
Every hospital shall annually report, in accordance with regulations of the Board consistent with recommendations of the nonprofit organization in its strategic plan submitted and provided purs7antpursuant to § 32.1-276.4, data and information regarding (i) the amount of charity care, discounted care, oEor other financial assistance provided by the hospital under its financial assistance policy pursuant to § 32.1-137.09 and (ii) the amount of uncollected bad debt, including any uncollected bad debt from payment plans entered into in accordance with subsection C of § 32.1-137.09.
View plain text versions (6)
- CHAP0678 View text Current pdf April 11, 2022
- HB1071ER View text pdf March 21, 2022
- Conference Substitute Conference substitute printed 22107783D-H2 pdf March 10, 2022
- Committee Substitute Committee substitute printed 22106945D-S1 pdf February 24, 2022
- Committee Substitute Committee substitute printed 22105937D-H1 pdf February 10, 2022
- Prefiled Prefiled and ordered printed; offered 01/12/22 22103960D pdf January 12, 2022
Action History
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Approved by Governor-Chapter 678 (effective 7/1/22)
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Governor's Action Deadline 11:59 p.m., April 11, 2022
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Enrolled Bill communicated to Governor on March 22, 2022
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Signed by Speaker
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Signed by President
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Impact statement from DPB (HB1071ER)
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Enrolled
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Impact statement from DPB (HB1071H2)
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Conference report agreed to by Senate (40-Y 0-N)
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VOTE: Adoption (97-Y 0-N)
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Conference report agreed to by House (97-Y 0-N)
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Conference substitute printed 22107783D-H2
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Amended by conference committee
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Conferees appointed by Senate
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Conferees appointed by House
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House acceded to request
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Senate requested conference committee
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Senate insisted on substitute with amendment (39-Y 0-N)
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VOTE: Rejected (0-Y 96-N)
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Senate substitute with amendment rejected by House 22106945D-S1 (0-Y 96-N)
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Passed Senate with substitute with amendment (39-Y 0-N)
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Engrossed by Senate - committee substitute with amendment HB1071S1
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Committee amendment agreed to
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Reading of amendment waived
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Committee substitute agreed to 22106945D-S1
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Reading of substitute waived
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Read third time
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Constitutional reading dispensed (40-Y 0-N)
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Reported from Finance and Appropriations with amendment (16-Y 0-N)
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Impact statement from DPB (HB1071S1)
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Rereferred to Finance and Appropriations
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Committee substitute printed 22106945D-S1
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Reported from Education and Health with substitute (15-Y 0-N)
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Referred to Committee on Education and Health
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Constitutional reading dispensed
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VOTE: Block Vote Passage (100-Y 0-N)
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Read third time and passed House BLOCK VOTE (100-Y 0-N)
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Impact statement from DPB (HB1071H1)
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Engrossed by House - committee substitute HB1071H1
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Committee substitute agreed to 22105937D-H1
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Read second time
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Read first time
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Committee substitute printed 22105937D-H1
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Reported from Health, Welfare and Institutions with substitute (22-Y 0-N)
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Impact statement from DPB (HB1071)
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Subcommittee recommends reporting with substitute (5-Y 0-N)
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House subcommittee amendments and substitutes offered
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Assigned HWI sub: Subcommittee #3
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Referred to Committee on Health, Welfare and Institutions
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Prefiled and ordered printed; offered 01/12/22 22103960D
Sponsors
- Kathy K.L. Tran · Primary
- Kathleen Murphy · Cosponsor
- Suhas Subramanyam · Cosponsor
- Sally L. Hudson · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 3 co-sponsors · 144 not signed on · 89 voted No
Sponsors (1)
- Kathy K.L. Tran Voted No
Co-sponsors (3)
- Murphy, Kathleen Voted No
- Subramanyam, Suhas Voted No
- Hudson, Sally L. Voted No
Not signed on (144)
144 members have not signed on to this bill.
Show all 144 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 96 | 0 | 0 | 3 |
| Total | 96 | 0 | 0 | 3 |
| % of votes cast | 97% | 0% | 0% | 3% |
How each member voted (99)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 40 | 0 | 0 | 0 |
| Total | 40 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (40)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 39 | 0 | 0 | 1 |
| Total | 39 | 0 | 0 | 1 |
| % of votes cast | 98% | 0% | 0% | 3% |
How each member voted (40)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 0 | 95 | 0 | 4 |
| Total | 0 | 95 | 0 | 4 |
| % of votes cast | 0% | 96% | 0% | 4% |
How each member voted (99)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 39 | 0 | 0 | 1 |
| Total | 39 | 0 | 0 | 1 |
| % of votes cast | 98% | 0% | 0% | 3% |
How each member voted (40)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 40 | 0 | 0 | 0 |
| Total | 40 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (40)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 16 | 0 | 0 | 0 |
| Total | 16 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (16)
| Member | Party | Vote |
|---|---|---|
| McClellan, Jennifer L. | — | Yea |
| Barker, George L. | — | Yea |
| David W. Marsden | — | Yea |
| Ebbin, Adam P. | — | Yea |
| Edwards, John S. | — | Yea |
| Hanger, Emmett W., Jr. | — | Yea |
| Howell, Janet D. | — | Yea |
| L. Louise Lucas | — | Yea |
| Mamie E. Locke | — | Yea |
| Newman, Stephen D. | — | Yea |
| Norment, Thomas K., Jr. | — | Yea |
| Petersen, J. Chapman | — | Yea |
| R. Creigh Deeds | — | Yea |
| Ruff, Frank M., Jr. | — | Yea |
| Saslaw, Richard L. | — | Yea |
| Vogel, Jill Holtzman | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 15 | 0 | 0 | 0 |
| Total | 15 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (15)
| Member | Party | Vote |
|---|---|---|
| Barker, George L. | — | Yea |
| Cosgrove, John A., Jr. | — | Yea |
| David R. Suetterlein | — | Yea |
| Dunnavant, Siobhan S. | — | Yea |
| Edwards, John S. | — | Yea |
| Hashmi, Ghazala F. | — | Yea |
| Howell, Janet D. | — | Yea |
| L. Louise Lucas | — | Yea |
| Lewis, Lynwood W., Jr. | — | Yea |
| Mamie E. Locke | — | Yea |
| Mark J. Peake | — | Yea |
| Newman, Stephen D. | — | Yea |
| Petersen, J. Chapman | — | Yea |
| Saslaw, Richard L. | — | Yea |
| Todd E. Pillion | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 99 | 0 | 0 | 0 |
| Total | 99 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (99)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 22 | 0 | 0 | 0 |
| Total | 22 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (22)
| Member | Party | Vote |
|---|---|---|
| March, Marie E. | — | Yea |
| Adams, Dawn M. | — | Yea |
| Bell, Robert B. | — | Yea |
| C.E. Cliff Hayes, Jr. | — | Yea |
| Christopher T. Head | — | Yea |
| Edmunds, James E., II | — | Yea |
| Fariss, C. Matthew | — | Yea |
| Guzman, Elizabeth R. | — | Yea |
| H. Otto Wachsmann, Jr. | — | Yea |
| Hudson, Sally L. | — | Yea |
| Karrie K. Delaney | — | Yea |
| Kathy K.L. Tran | — | Yea |
| M. Keith Hodges | — | Yea |
| Marcia S. "Cia" Price | — | Yea |
| Mike A. Cherry | — | Yea |
| Orrock, Robert D., Sr. | — | Yea |
| Patrick A. Hope | — | Yea |
| Phillip A. Scott | — | Yea |
| Robinson, Roxann L. | — | Yea |
| Rodney T. Willett | — | Yea |
| Sickles, Mark D. | — | Yea |
| Wendell S. Walker | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 5 | 0 | 0 | 1 |
| Total | 5 | 0 | 0 | 1 |
| % of votes cast | 83% | 0% | 0% | 17% |
How each member voted (6)
| Member | Party | Vote |
|---|---|---|
| C.E. Cliff Hayes, Jr. | — | Yea |
| Christopher T. Head | — | Yea |
| Kathy K.L. Tran | — | Yea |
| Orrock, Robert D., Sr. | — | Yea |
| Robinson, Roxann L. | — | Yea |
| Wendell S. Walker | — | Not Voting |
Subjects
Frequently asked questions
- What does HB 1071 do?
- Hospitals; financial assistance; payment plans. Requires hospitals to make reasonable efforts to screen every uninsured patient, defined in the bill, to determine whether the individual is eligible for medical assistance pursuant to the state plan for medical assistance or for financial assistance under the hospital's financial assistance policy and to inform every uninsured patient who receives services at the hospital and who is determined to be eligible for assistance under the hospital's financial assistance policy of the option to enter into a payment plan with the hospital. The bill also prohibits hospitals from engaging in extraordinary collection actions to recover a debt for medical services against any patient unless the hospital has made all reasonable efforts to determine whether the patient qualifies for medical assistance pursuant to the state plan for medical assistance or is eligible for financial assistance under the hospital's financial assistance policy and requires hospitals to annually report data and information regarding the amount of charity care, discounted care, and financial assistance provided under the hospital's financial assistance policy and the amount of uncollected bad debt. This bill is identical to SB 201.
- Who sponsors HB 1071?
- HB 1071 is sponsored by Kathy K.L. Tran, Murphy, Kathleen, Subramanyam, Suhas, and Hudson, Sally L..
- What is the current status of HB 1071?
- This bill has been enacted into law. Introduced January 12, 2022. Enacted.
- Where can I track HB 1071?
- Track HB 1071 free on One Click Politics — get push/email alerts when it moves.
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