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This bill enacts provisions governing billing for healthcare services. This bill applies to health benefit plans, providers, and healthcare facilities. This bill states that its purpose is to alleviate the effects of inadequate and narrow health benefit plan provider networks by establishing the adoption and use of a healthcare provider charge database for ensuring a minimum reimbursement baseline standard for the payment of out-of-network services; implementing a balance billing prohibition for out-of-network emergency services and for certain facility-based non-emergency services when reimbursement is issued in accordance with such minimum reimbursement baseline standards; and creating opportunities for enhanced transparency and notice to consumers of healthcare services resulting from unexpected medical bills that arise from receiving care from out-of-network providers.

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