HB 2268 — An Act amending the act of July 19, 1979 (P.L.130, No.48), known as the Health Care Facilities Act, providing for health care site neutrality.

Bill Text

• Printer's No. PN2967 View text Current pdf

AI-generated reading aid from the bill's amendatory text — verify against the official bill.

The bill establishes new regulations for health care site neutrality, specifically prohibiting facility fees and setting reimbursement rates for applicable services.

• Health Care Facilities Act

  Chapter 8-D HEALTH CARE SITE NEUTRALITY Section 801-D. Definitions. The following words and phrases when used in this chapter shall have the meanings given to them in this section unless the context clearly indicates otherwise: "Applicable services." Any of the following: (1) Services provided in an off-campus health care facility. (2) Outpatient evaluation and management services. (3) Any outpatient, diagnostic or imaging service identified by the department under section 804-D. "Campus." Any of the following: (1) The primary buildings of a health care facility. (2) The physical area immediately adjacent to the primary buildings or other areas or structures not strictly contiguous to the primary buildings of a health care facility that are located within 250 yards of the main buildings. (3) Any other area determined on an individual basis by the Centers for Medicare and Medicaid Services to be part of the campus of a health care facility. "Council." The Health Care Cost Containment Council established under the act of July 8, 1986 (P.L.408, No.89), known as the Health Care Cost Containment Act. "Current procedural terminology." The codes, descriptions and guidelines as included in the current procedural terminology manual published by the American Medical Association in effect at the time of the effective date of this section. "Facility fee." Any fee charged or billed by a health care provider for outpatient services provided in an off-campus health care facility that is: (1) intended to compensate the health care provider for the operational expenses of the health care provider; (2) separate and distinct from a professional fee; and (3) irrespective of the modality through which the health care service was provided.

  New definitions and regulations pertaining to health care site neutrality are established.

• Health Care Facilities Act

  Section 802-D. Prohibited fees and provider reimbursement. (a) Prohibited fees.--A health care provider may not charge, bill or collect a facility fee for any applicable service. (b) Participating provider reimbursement rates.--A health care provider that enters into a health care contract to be a participating provider with a health benefit plan shall offer to accept as payment in full for applicable services rates that shall not exceed 150% of the amount paid by Medicare for the same services. (c) Health care provider reimbursement rates.-- (1) A health care provider may not charge, bill or accept payment for an applicable service that exceeds the lesser of: (i) 150% of the amount paid by Medicare; or (ii) the negotiated rate agreed upon by the health care provider and the health benefit plan.

  Prohibits facility fees and sets reimbursement caps for health care providers.

• Health Care Facilities Act

  Section 803-D. Duties of health care provider. (a) Notice requirement.--A health care provider shall provide written notice to the patient at least 48 hours before the performance of medical services, including diagnosis, care or treatment in an off-campus health care facility of: (1) the dollar amount of the patient's potential financial liability, if known; or (2) if the diagnosis and the extent of medical services is unknown within the 48-hour period, a statement advising the patient or the patient's authorized representative that the patient may incur a financial liability to the health care facility that the patient would not incur if the patient was receiving medical services and treatment on the campus of the health care facility.

  Mandates that health care providers inform patients of potential costs before services are rendered.

Action History

1. March 09, 2026

   Referred to Health

Sponsors

• Joe Webster · Primary
• Tarah Probst · Cosponsor
• Scott Conklin · Cosponsor
• Nancy Guenst · Cosponsor
• Benjamin V. Sanchez · Cosponsor
• Ben Waxman · Cosponsor
• Carol Hill-Evans · Cosponsor
• La'Tasha D. Mayes · Cosponsor
• Jim Haddock · Cosponsor
• John C. Inglis III · Cosponsor
• Johanny Cepeda-Freytiz · Cosponsor
• Melissa Cerrato · Cosponsor
• Joseph C. Hohenstein · Cosponsor
• Ed Neilson · Cosponsor
• Mandy Steele · Cosponsor

Subjects