Elective procedure, test, or service; estimate of payment amount.
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SB 1004 — Elective procedure, test, or service; estimate of payment amount.
Last action — Enrolled
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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3Passed Senate
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4Passed House of Delegates
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5To Executive
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6Enacted
This bill died with 2019 Regular Session. It reached “Passed Senate” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.
Summary
Requires hospitals to provide written information about the patient's ability to request an estimate of the payment for an elective procedure, test, or service. The bill requires such written information to be posted conspicuously in public areas of the hospital, including admissions or registration areas, and on any website maintained by the hospital. The bill also requires any physician, physician assistant, or nurse practitioner who practices in an office-based setting to provide, upon request of a patient, a good faith estimate of the charges for health care services for the patient.
Bill Text
What changed in the latest version
7 added · 37 removedPlain-language change summary
The recent amendment to SB 1004 focuses on simplifying the existing legislation concerning health care payment estimates. This version removes references to an additional section (§ 54.1-2963.1) that pertained to the disclosure of medical treatment options, which was previously part of the bill. By narrowing the focus solely to § 32.1-137.05, the bill aims to streamline the process for providing patients with clear estimates of their potential health care costs, making it easier for individuals to make informed decisions about their medical care. This change is important because it enables more straightforward communication between healthcare providers and patients regarding financial responsibilities.
SESSION history | hilite | pdf | print version 19104197DVIRGINIA SENATEACTS BILLOF NO.ASSEMBLY -- CHAPTER An Act to amend and reenact § 32.1-137.05 of the Code of Virginia, relating to health care services;
1004 AMENDMENT IN THE NATURE OF A SUBSTITUTE (Proposed by the Senate Committee on Education and Health on January 24, 2019) (Patrons Prior to Substitute--Senators Chase and Wagner [SB 1357]) A BILL to amend and reenact §§ 32.1-137.05 and 54.1-2963.1 of the Code of Virginia, relating to health care services;
[S 1004] Approved Be it enacted by the General Assembly of Virginia:
That §§§ 32.1-137.05 and 54.1-2963.1 of the Code of Virginia areis amended and reenacted as follows:
§ 54.1-2963.1.
Disclosure of medical treatment options.
A.
For the purposes of this section, "medical treatment options" means any alternative or experimental therapeutic, psychiatric, medical treatment or procedure, health care service, drug, or remedy.
B.
Any physician, physician assistant, or nurse practitioner shall have the authority to disclose fully all medical treatment options to patients, whether or not such treatment options are (i) experimental or covered services, (ii) services that the health insurer will not authorize, or (iii) the costs of the treatment will be borne by the health insurer or the patient, to facilitate an informed decision by the patient, if the physician determines that such an option is in the best interest of the patient.
Any physician, physician assistant, or nurse practitioner who discloses information concerning other medical treatment options to a person with whom he has established a physician-patient relationship shall not be liable to any health insurer, in an action instituted solely on behalf of the health insurer, for any civil damages resulting from the disclosure of such information.
This section shall not affect any cause of action a patient may have against a physician.
For the purposes of this section, "medical treatment options" means any alternative or experimental therapeutic, psychiatric, medical treatment or procedure, health care service, drug, or remedy.
C.
Any physician, physician assistant, or nurse practitioner who practices in an office-based setting, or his designee, shall provide, upon request of a patient, a good faith estimate of the charges for such health care services for the patient.
View plain text versions (3)
- Senate: Bill text as passed Senate and House (SB1004ER) View text Current html March 07, 2019
- Committee Substitute Senate: Committee substitute printed 19104197D-S1 html January 24, 2019
- Prefiled Senate: Prefiled and ordered printed; offered 01/09/19 19100070D html July 16, 2018
Action History
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Enrolled
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Conference report agreed to by House (97-Y 0-N)
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Amended by conference committee
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Conferees appointed by House
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Conferees appointed by Senate
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House requested conference committee
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House insisted on amendments
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Passed House with amendments (98-Y 0-N)
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Engrossed by House as amended
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Amendments by Delegate Orrock agreed to
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Committee amendments rejected
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Read third time
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Passed by for the day
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Read second time
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Referred to Committee on Health, Welfare and Institutions
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Read first time
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Placed on Calendar
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Engrossed by Senate - committee substitute SB1004S1
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Committee substitute agreed to 19104197D-S1
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Reading of substitute waived
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Read second time
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Incorporates SB1357 (Wagner)
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Assigned Education sub: Health Professions
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Referred to Committee on Education and Health
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Prefiled and ordered printed; offered 01/09/19 19100070D
Sponsors
- Frank W. Wagner (incorporated chief co-patron) · Cosponsor
- Amanda F. Chase · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 1 co-sponsors · 146 not signed on · 35 voted No
Sponsors (1)
- Chase, Amanda F. Voted No
Co-sponsors (1)
- Frank W. Wagner (incorporated chief co-patron)
Not signed on (146)
146 members have not signed on to this bill.
Show all 146 →"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 | 39 | 0 | 0 | 0 |
| Total | 39 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (39)
| Member | Party | Vote |
|---|---|---|
| Chafin | — | Yea |
| Dance | — | Yea |
| McClellan | — | Yea |
| Spruill | — | Yea |
| Black | — | Yea |
| Carrico | — | Yea |
| Wagner | — | Yea |
| Barbara A. Favola | — | Yea |
| Barker, George L. | — | Yea |
| Bill DeSteph | — | Yea |
| Bryce E. Reeves | — | Yea |
| Chase, Amanda F. | — | Yea |
| Cosgrove, John A., Jr. | — | Yea |
| David R. Suetterlein | — | Yea |
| David W. Marsden | — | Yea |
| Dunnavant, Siobhan S. | — | Yea |
| Ebbin, Adam P. | — | Yea |
| Edwards, John S. | — | Yea |
| Glen H. Sturtevant, Jr. | — | Yea |
| Hanger, Emmett W., Jr. | — | Yea |
| Howell, Janet D. | — | Yea |
| Jennifer B. Boysko | — | Yea |
| Jeremy S. McPike | — | Yea |
| L. Louise Lucas | — | Yea |
| Lewis, Lynwood W., Jr. | — | Yea |
| Mamie E. Locke | — | Yea |
| Mark D. Obenshain | — | Yea |
| Mark J. Peake | — | Yea |
| Mason, T. Montgomery "Monty" | — | Yea |
| Newman, Stephen D. | — | Yea |
| Norment, Thomas K., Jr. | — | Yea |
| Petersen, J. Chapman | — | Yea |
| R. Creigh Deeds | — | Yea |
| Richard H. Stuart | — | Yea |
| Ruff, Frank M., Jr. | — | Yea |
| Ryan T. McDougle | — | Yea |
| Saslaw, Richard L. | — | Yea |
| Scott A. Surovell | — | Yea |
| William M. Stanley, Jr. | — | Yea |
Roll call published as PDF — view source.
| 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)
| Member | Party | Vote |
|---|---|---|
| Carrico | — | Yea |
| Chafin | — | Yea |
| Dance | — | Yea |
| Black | — | Yea |
| McClellan | — | Yea |
| Spruill | — | Yea |
| Wagner | — | Yea |
| Barbara A. Favola | — | Yea |
| Barker, George L. | — | Yea |
| Bill DeSteph | — | Yea |
| Bryce E. Reeves | — | Yea |
| Chase, Amanda F. | — | Yea |
| Cosgrove, John A., Jr. | — | Yea |
| David R. Suetterlein | — | Yea |
| David W. Marsden | — | Yea |
| Dunnavant, Siobhan S. | — | Yea |
| Ebbin, Adam P. | — | Yea |
| Edwards, John S. | — | Yea |
| Glen H. Sturtevant, Jr. | — | Yea |
| Hanger, Emmett W., Jr. | — | Yea |
| Howell, Janet D. | — | Yea |
| Jennifer B. Boysko | — | Yea |
| Jeremy S. McPike | — | Yea |
| L. Louise Lucas | — | Yea |
| Lewis, Lynwood W., Jr. | — | Yea |
| Mamie E. Locke | — | Yea |
| Mark D. Obenshain | — | Yea |
| Mark J. Peake | — | Yea |
| Mason, T. Montgomery "Monty" | — | Yea |
| Newman, Stephen D. | — | Yea |
| Norment, Thomas K., Jr. | — | Yea |
| Petersen, J. Chapman | — | Yea |
| R. Creigh Deeds | — | Yea |
| Richard H. Stuart | — | Yea |
| Ruff, Frank M., Jr. | — | Yea |
| Ryan T. McDougle | — | Yea |
| Saslaw, Richard L. | — | Yea |
| Scott A. Surovell | — | Yea |
| Vogel, Jill Holtzman | — | Yea |
| William M. Stanley, Jr. | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 4 | 36 | 0 | 0 |
| Total | 4 | 36 | 0 | 0 |
| % of votes cast | 10% | 90% | 0% | 0% |
How each member voted (40)
| Member | Party | Vote |
|---|---|---|
| Carrico | — | Nay |
| Wagner | — | Yea |
| Spruill | — | Yea |
| McClellan | — | Nay |
| Black | — | Nay |
| Chafin | — | Nay |
| Dance | — | Nay |
| Barbara A. Favola | — | Nay |
| Barker, George L. | — | Nay |
| Bill DeSteph | — | Nay |
| Bryce E. Reeves | — | Nay |
| Chase, Amanda F. | — | Nay |
| Cosgrove, John A., Jr. | — | Nay |
| David R. Suetterlein | — | Nay |
| David W. Marsden | — | Yea |
| Dunnavant, Siobhan S. | — | Nay |
| Ebbin, Adam P. | — | Nay |
| Edwards, John S. | — | Nay |
| Glen H. Sturtevant, Jr. | — | Nay |
| Hanger, Emmett W., Jr. | — | Nay |
| Howell, Janet D. | — | Nay |
| Jennifer B. Boysko | — | Nay |
| Jeremy S. McPike | — | Nay |
| L. Louise Lucas | — | Nay |
| Lewis, Lynwood W., Jr. | — | Nay |
| Mamie E. Locke | — | Nay |
| Mark D. Obenshain | — | Nay |
| Mark J. Peake | — | Nay |
| Mason, T. Montgomery "Monty" | — | Nay |
| Newman, Stephen D. | — | Nay |
| Norment, Thomas K., Jr. | — | Yea |
| Petersen, J. Chapman | — | Nay |
| R. Creigh Deeds | — | Nay |
| Richard H. Stuart | — | Nay |
| Ruff, Frank M., Jr. | — | Nay |
| Ryan T. McDougle | — | Nay |
| Saslaw, Richard L. | — | Nay |
| Scott A. Surovell | — | Nay |
| Vogel, Jill Holtzman | — | Nay |
| William M. Stanley, Jr. | — | Nay |
Roll call published as PDF — view source.
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 14 | 8 | 0 | 0 |
| Total | 14 | 8 | 0 | 0 |
| % of votes cast | 64% | 36% | 0% | 0% |
How each member voted (22)
| Member | Party | Vote |
|---|---|---|
| Stolle | — | Nay |
| Bell, Richard P. | — | Yea |
| Helsel | — | Nay |
| James | — | Nay |
| Peace | — | Yea |
| Pogge | — | Yea |
| Rodman | — | Yea |
| Aird, Lashrecse D. | — | Yea |
| Bell, Robert B. | — | Yea |
| C.E. Cliff Hayes, Jr. | — | Yea |
| Christopher T. Head | — | Yea |
| Edmunds, James E., II | — | Yea |
| Karrie K. Delaney | — | Yea |
| Levine, Mark H. | — | Yea |
| M. Keith Hodges | — | Nay |
| Marcia S. "Cia" Price | — | Yea |
| Orrock, Robert D., Sr. | — | Yea |
| Patrick A. Hope | — | Nay |
| Robinson, Roxann L. | — | Nay |
| Sam Rasoul | — | Yea |
| Sickles, Mark D. | — | Nay |
| Thomas A. Garrett, Jr. | — | Nay |
| 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)
| Member | Party | Vote |
|---|---|---|
| Barker | — | Yea |
| Carrico | — | Yea |
| Chafin | — | Yea |
| Cosgrove | — | Yea |
| Dance | — | Yea |
| Hanger | — | Yea |
| Lewis | — | Yea |
| Newman | — | Yea |
| Petersen | — | Yea |
| Wagner | — | Yea |
| Howell | — | Yea |
| Mason | — | Yea |
| McClellan | — | Yea |
| Spruill | — | Yea |
| Dunnavant | — | Yea |
| Edwards | — | Yea |
| Norment | — | Yea |
| Ruff | — | Yea |
| Saslaw | — | Yea |
| Vogel | — | Yea |
| Black | — | Yea |
| Chase | — | Yea |
| Adam P. Ebbin | — | Yea |
| Barbara A. Favola | — | Yea |
| Bill DeSteph | — | Yea |
| Bryce E. Reeves | — | Yea |
| David R. Suetterlein | — | Yea |
| David W. Marsden | — | Yea |
| Glen H. Sturtevant, Jr. | — | Yea |
| Jennifer B. Boysko | — | Yea |
| Jeremy S. McPike | — | Yea |
| L. Louise Lucas | — | Yea |
| Mamie E. Locke | — | Yea |
| Mark D. Obenshain | — | Yea |
| Mark J. Peake | — | Yea |
| R. Creigh Deeds | — | Yea |
| Richard H. Stuart | — | Yea |
| Ryan T. McDougle | — | Yea |
| Scott A. Surovell | — | Yea |
| William M. Stanley, Jr. | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 38 | 1 | 0 | 0 |
| Total | 38 | 1 | 0 | 0 |
| % of votes cast | 97% | 3% | 0% | 0% |
How each member voted (39)
| Member | Party | Vote |
|---|---|---|
| Barker | — | Yea |
| Chase | — | Yea |
| Cosgrove | — | Yea |
| Dance | — | Yea |
| Hanger | — | Yea |
| Petersen | — | Yea |
| Wagner | — | Nay |
| Black | — | Yea |
| Howell | — | Yea |
| Mason | — | Yea |
| McClellan | — | Yea |
| Spruill | — | Yea |
| Carrico | — | Yea |
| Chafin | — | Yea |
| Dunnavant | — | Yea |
| Edwards | — | Yea |
| Lewis | — | Yea |
| Newman | — | Yea |
| Ruff | — | Yea |
| Saslaw | — | Yea |
| Vogel | — | Yea |
| Adam P. Ebbin | — | Yea |
| Barbara A. Favola | — | Yea |
| Bill DeSteph | — | Yea |
| Bryce E. Reeves | — | Yea |
| David R. Suetterlein | — | Yea |
| David W. Marsden | — | Yea |
| Glen H. Sturtevant, Jr. | — | Yea |
| Jennifer B. Boysko | — | Yea |
| Jeremy S. McPike | — | Yea |
| L. Louise Lucas | — | Yea |
| Mamie E. Locke | — | Yea |
| Mark D. Obenshain | — | Yea |
| Mark J. Peake | — | Yea |
| R. Creigh Deeds | — | Yea |
| Richard H. Stuart | — | Yea |
| Ryan T. McDougle | — | Yea |
| Scott A. Surovell | — | Yea |
| William M. Stanley, Jr. | — | 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 | — | Yea |
| Chase | — | Yea |
| Cosgrove | — | Yea |
| Petersen | — | Yea |
| Saslaw | — | Yea |
| Howell | — | Yea |
| Black | — | Yea |
| Carrico | — | Yea |
| Dunnavant | — | Yea |
| Lewis | — | Yea |
| Newman | — | Yea |
| David R. Suetterlein | — | Yea |
| L. Louise Lucas | — | Yea |
| Mamie E. Locke | — | Yea |
| Mark J. Peake | — | Yea |
Subjects
Frequently asked questions
- What does SB 1004 do?
- Requires hospitals to provide written information about the patient's ability to request an estimate of the payment for an elective procedure, test, or service. The bill requires such written information to be posted conspicuously in public areas of the hospital, including admissions or registration areas, and on any website maintained by the hospital. The bill also requires any physician, physician assistant, or nurse practitioner who practices in an office-based setting to provide, upon request of a patient, a good faith estimate of the charges for health care services for the patient.
- Who sponsors SB 1004?
- SB 1004 is sponsored by Frank W. Wagner (incorporated chief co-patron) and Chase, Amanda F..
- What is the current status of SB 1004?
- This bill died with 2019 Regular Session. It reached “Passed Senate” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track SB 1004?
- Track SB 1004 free on One Click Politics — get push/email alerts when it moves.
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