Senate
File
431
-
Introduced
SENATE
FILE
431
BY
BOUSSELOT
A
BILL
FOR
An
Act
relating
to
certain
cost
controls
for
health
care
1
services,
and
including
penalties.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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Section
1.
Section
507B.4,
subsection
3,
Code
2023,
is
1
amended
by
adding
the
following
new
paragraph:
2
NEW
PARAGRAPH
.
u.
Improper
denial
of
claims.
A
health
3
carrier
improperly
denying
claims
under
chapter
514M.1.
4
Sec.
2.
NEW
SECTION
.
514M.1
Short
title.
5
This
chapter
shall
be
known
and
may
be
cited
as
“The
6
Patient’s
Right
to
Save
Act”
.
7
Sec.
3.
NEW
SECTION
.
514M.2
Definitions.
8
As
used
in
this
chapter,
unless
the
context
otherwise
9
requires:
10
1.
“Collection
action”
means
any
of
the
following
actions
11
taken
with
respect
to
a
debt
for
health
care
services
purchased
12
from,
or
provided
to
a
covered
person
by,
a
health
care
13
provider
on
a
date
on
which
the
health
care
provider
was
not
in
14
material
compliance
with
this
chapter:
15
a.
Attempting
to
collect
a
debt
from
a
covered
person
or
16
a
covered
person’s
guarantor
by
referring
the
debt,
directly
17
or
indirectly,
to
a
debt
collector,
a
collection
agency,
or
18
other
third-party
retained
by
or
on
behalf
of
the
health
care
19
provider.
20
b.
Suing
a
covered
person
or
a
covered
person’s
guarantor,
21
or
enforcing
an
arbitration
or
mediation
clause
in
a
health
22
care
provider’s
contract,
agreement,
statement,
or
bill.
23
c.
Directly
or
indirectly
causing
a
report
to
be
made
to
a
24
consumer
reporting
agency.
25
2.
“Collection
agency”
means
a
person
that
regularly
26
collects
or
attempts
to
collect,
directly
or
indirectly,
27
debts
owed,
due,
or
asserted
to
be
owed
or
due;
that
takes
28
assignment
of
debts
for
collection
purposes;
or
that
directly
29
or
indirectly
solicits
for
collection
debts
owed,
due,
or
30
asserted
to
be
owed
or
due.
31
3.
“Consumer
reporting
agency”
means
a
person
that
for
32
monetary
fees,
dues,
or
on
a
cooperative
nonprofit
basis,
33
regularly
engages
in
assembling
or
evaluating
consumer
credit
34
information,
or
other
consumer
information,
for
the
purpose
of
35
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providing
consumer
reports
to
third
parties,
and
that
uses
any
1
means
or
facility
of
interstate
commerce
for
the
purpose
of
2
preparing
or
furnishing
consumer
reports.
“Consumer
reporting
3
agency”
does
not
include
any
person
that
only
provides
check
4
verification
or
check
guarantee
services.
5
4.
“Cost-sharing”
means
any
coverage
limit,
copayment,
6
coinsurance,
deductible,
or
other
out-of-pocket
expense
7
obligation
imposed
on
a
covered
person
by
a
policy,
contract,
8
or
plan
providing
for
third-party
payment
or
prepayment
of
9
health
or
medical
expenses.
10
5.
“Covered
person”
means
the
same
as
defined
in
section
11
514J.102.
12
6.
“Debt”
means
an
obligation
or
alleged
obligation
of
a
13
consumer
to
pay
money
arising
out
of
a
transaction,
whether
or
14
not
the
obligation
has
been
reduced
to
judgment.
“Debt”
does
15
not
include
a
consumer
debt
incurred
for
business,
investment,
16
commercial,
or
agricultural
purposes,
or
a
debt
incurred
by
a
17
business.
18
7.
“Debt
collector”
means
a
person
employed
or
engaged
by
a
19
collection
agency
to
perform
debt
collection.
20
8.
“Deidentified
minimum
negotiated
charge”
means
the
lowest
21
charge
for
a
specific
health
care
service
that
a
health
care
22
provider
has
negotiated
with
a
health
carrier.
23
9.
“Discounted
cash
price”
means
the
price
an
individual
24
pays
for
a
specific
health
care
service
if
the
individual
pays
25
for
the
health
care
service
with
cash
or
a
cash
equivalent.
26
10.
“Health
benefit
plan”
means
the
same
as
defined
in
27
section
514J.102.
28
11.
“Health
care
provider”
means
a
physician
or
other
29
health
care
practitioner
licensed,
accredited,
registered,
or
30
certified
to
perform
specified
health
care
services
consistent
31
with
state
law,
an
institution
providing
health
care
services,
32
a
health
care
setting,
including
but
not
limited
to
a
hospital
33
or
other
licensed
inpatient
center,
an
ambulatory
surgical
34
or
treatment
center,
a
skilled
nursing
center,
a
residential
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treatment
center,
a
diagnostic,
laboratory
and
imaging
center,
1
or
a
rehabilitation
or
other
therapeutic
health
setting.
2
12.
“Health
care
services”
means
the
same
as
defined
in
3
section
514J.102.
4
13.
“Health
carrier”
means
the
same
as
defined
in
section
5
514J.102.
6
14.
“Pharmacist”
means
the
same
as
defined
in
section
7
155A.3.
8
15.
“Pharmacy”
means
the
same
as
defined
in
section
155A.3.
9
Sec.
4.
NEW
SECTION
.
514M.3
Health
care
services
——
cost
10
controls.
11
1.
a.
All
health
care
providers
shall
establish
and
12
disclose
the
discounted
cash
price
the
health
care
provider
13
will
accept
for
specific
health
care
services.
The
disclosure
14
shall
specify
if
the
discounted
cash
price
varies
due
to
15
different
circumstances,
including
but
not
limited
to
the
16
day
or
time
a
health
care
service
is
provided,
the
office
or
17
location
at
which
the
health
care
service
is
provided,
how
18
quickly
an
individual
pays
the
discounted
cash
price
for
a
19
health
care
service
the
individual
received,
the
income
level
20
of
the
individual
who
received
the
health
care
service,
or
21
the
ancillary
services
or
amenities
provided
to
an
individual
22
at
the
same
time
the
health
care
service
is
provided.
The
23
discounted
cash
price
shall
be
available
to
all
covered
persons
24
and
to
all
uninsured
individuals.
25
b.
A
health
carrier
shall
post
all
discounted
cash
prices
26
via
a
secure
internet
site
that
is
easily
accessible
to
all
27
covered
persons.
A
health
carrier
shall
update
any
change
in
a
28
discounted
cash
price
within
five
calendar
days
of
the
change,
29
and
shall
review
each
discounted
cash
price
at
least
annually.
30
c.
(1)
During
the
appointment
scheduling
process,
and
any
31
intake
process
prior
to
the
provision
of
a
health
care
service,
32
covered
persons
and
uninsured
individuals
shall
be
informed
33
of
their
right
to
pay
for
the
health
care
service
via
the
34
discounted
cash
price.
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(2)
During
the
appointment
scheduling
process,
and
any
1
intake
process
prior
to
the
provision
of
a
health
care
service,
2
a
covered
person
shall
be
advised
that
they
qualify
for
a
3
deductible
credit
if
they
have
not
exceeded
their
deductible
to
4
date,
and
all
of
the
following
are
true:
5
(a)
The
covered
person
pays
the
discounted
cash
price
for
6
the
health
care
service.
7
(b)
The
discounted
cash
price
is
below
the
deidentified
8
minimum
negotiated
charge
for
the
specific
health
care
service
9
that
the
covered
person
will
receive.
10
d.
A
health
carrier
shall
not
enter
into
a
contract
that
11
prevents
the
health
carrier
from
offering
a
discounted
cash
12
price
below
the
contracted
rates
the
health
carrier
has
with
13
other
commercial
or
public
payors,
or
that
prevents
the
health
14
carrier
from
disclosing
the
health
carrier’s
discounted
cash
15
price
under
paragraph
“b”
.
16
e.
A
covered
person’s
out-of-pocket
pricing
for
each
17
prescription
drug
on
a
health
carrier’s
formulary
shall
be
18
available
to
a
health
care
provider
via
an
easily
accessible
19
and
secure
internet
site
hosted
by
the
health
carrier
at
the
20
point
the
health
care
provider
prescribes
prescription
drugs
21
to
the
covered
person.
22
2.
Each
health
benefit
plan
shall
disclose
to
the
health
23
benefit
plan’s
covered
persons
the
deidentified
minimum
24
negotiated
charge
for
each
health
care
service
that
is
covered
25
under
the
covered
person’s
health
benefit
plan.
If
a
health
26
benefit
plan
fails
to
disclose
each
deidentified
minimum
27
negotiated
charge,
a
covered
person
may
substitute
a
benchmark
28
selected
by
the
commissioner
for
the
deidentified
minimum
29
negotiated
charge.
30
3.
A
covered
person
who
elects
to
receive
a
covered
health
31
care
service
at
a
discounted
cash
price
that
is
below
the
32
deidentified
minimum
negotiated
charge
shall
receive
credit
33
toward
the
covered
person’s
cost-sharing
as
specified
in
the
34
covered
person’s
health
benefit
plan,
as
if
the
health
care
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service
is
provided
by
an
in-network
health
care
provider.
1
4.
A
health
benefit
plan
shall
not
discriminate
in
the
2
form
of
payment
for
any
covered
in-network
health
care
service
3
solely
on
the
basis
that
the
covered
person
was
referred
for
4
the
health
care
service
by
an
out-of-network
health
care
5
provider.
6
5.
a.
If
a
covered
person
elects
to
use
a
pharmacy
discount
7
program,
a
drug
manufacturer’s
rebate,
or
other
discount
or
8
rebate
program
that
results
in
a
lower
cost
for
a
covered
9
prescription
drug
than
if
the
covered
person
uses
their
health
10
benefit
plan,
the
health
benefit
plan
shall
apply
any
payments
11
made
by
the
covered
person
for
the
covered
prescription
drug
to
12
the
covered
person’s
cost-sharing
as
specified
in
the
covered
13
person’s
health
benefit
plan
as
if
the
covered
person
purchased
14
the
prescription
drug
from
a
network
pharmacy
using
the
covered
15
person’s
health
benefit
plan.
The
health
benefit
plan
shall
16
credit
the
value
of
the
rebate
or
other
discount
toward
the
17
covered
person’s
cost-sharing
for
health
care
services
that
18
are
covered
or
that
are
considered
formulary
under
the
covered
19
person’s
health
benefit
plan.
The
health
benefit
plan
may
20
credit
the
value
of
the
rebate
or
other
discount
toward
the
21
covered
person’s
cost-sharing
for
health
care
services
that
22
are
not
covered
or
that
are
considered
nonformulary
under
the
23
covered
person’s
health
benefit
plan.
This
paragraph
shall
not
24
be
construed
to
restrict
a
health
benefit
plan
from
requiring
a
25
preauthorization
or
other
precertification
normally
required
by
26
the
health
benefit
plan.
27
b.
A
health
benefit
plan
shall
provide
a
downloadable
or
28
interactive
online
form
for
a
covered
person
to
submit
proof
of
29
payment
under
paragraph
“a”
,
and
shall
annually
inform
covered
30
persons
of
their
options
under
this
subsection.
31
6.
Annually
at
enrollment
or
renewal,
a
health
carrier
shall
32
provide
notice
to
covered
persons
via
the
health
carrier’s
33
health
benefit
plan
materials
and
the
health
carrier’s
internet
34
site
of
the
option,
and
the
process,
to
receive
a
covered
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health
care
service
at
a
discounted
cash
price
below
the
1
deidentified
minimum
negotiated
charge.
2
7.
If
a
covered
person
pays
a
discounted
cash
price
that
is
3
above
the
deidentified
minimum
negotiated
charge,
the
health
4
benefit
plan
shall
credit
the
covered
person’s
cost-sharing
an
5
amount
equal
to
the
discounted
cash
price.
6
8.
a.
If
a
health
carrier
denies
a
claim
submitted
by
a
7
covered
person
pursuant
to
this
chapter,
the
health
carrier
8
shall
notify
the
commissioner
and
provide
evidence
to
support
9
the
denial
to
the
covered
person
and
to
the
commissioner.
10
b.
A
covered
person
may
appeal
a
claim
denial
to
the
11
commissioner
within
sixty
calendar
days
of
the
denial.
The
12
appeal
shall
be
adjudicated
within
thirty
calendar
days
of
the
13
covered
person’s
request
for
an
appeal.
If
the
commissioner
14
determines
that
the
health
carrier
improperly
denied
the
15
covered
person’s
claim,
the
health
carrier
shall
pay
the
16
covered
person’s
costs
and
attorney
fees
associated
with
the
17
appeal,
shall
accept
the
covered
person’s
claim,
and
shall
18
provide
cash
compensation
to
the
covered
person
in
an
amount
19
equal
to
the
amount
of
the
claim.
20
c.
If
a
health
carrier
denies
twenty
or
more
claims
in
21
any
one
quarter,
the
commissioner
shall
have
the
authority
to
22
investigate
the
denials.
If
the
commissioner
finds
that
a
23
health
carrier
has
improperly
denied
claims
under
this
chapter,
24
or
committed
an
unfair
or
deceptive
act
or
practice
under
25
section
507B.4,
subsection
3,
paragraph
“u”
,
the
commissioner
26
may
conduct
a
hearing
under
section
507B.6.
27
9.
a.
For
costs
that
exceed
a
covered
person’s
deductible,
28
the
covered
person
shall
have
access
to
a
program
that
directly
29
rewards
the
covered
person
with
a
savings
incentive
for
30
medically
necessary
covered
health
care
services
received
from
31
health
care
providers
that
offer
a
discounted
cash
price
below
32
the
deidentified
minimum
negotiated
charge.
If
a
covered
33
person
exceeds
the
covered
person’s
annual
deductible,
the
34
covered
person’s
health
benefit
plan
shall
notify
the
covered
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person
of
the
savings
incentive
program
and
how
the
savings
1
incentive
program
works.
2
b.
A
covered
person’s
savings
incentive
for
a
specific
3
health
care
service
shall
be
calculated
as
the
difference
4
between
the
discounted
cash
price
and
the
deidentified
minimum
5
negotiated
charge.
A
savings
incentive
shall
be
divided
6
equally
between
the
covered
person
and
the
covered
person’s
7
health
benefit
plan,
and
may
include
a
cash
payment
to
the
8
covered
person.
9
c.
Savings
incentives
under
this
subsection
shall
not
be
10
an
administrative
expense
of
the
health
benefit
plan
for
rate
11
development
or
rate
filing
purposes.
12
10.
a.
A
health
care
provider
shall
not
initiate
or
pursue
13
a
collection
action
against
a
covered
person,
or
a
covered
14
person’s
guarantor,
for
a
debt
owed
for
a
health
care
service
15
unless
the
health
care
provider
is
in
material
compliance
with
16
this
chapter
on
the
date
that
the
health
care
provider
provided
17
the
health
care
service
to
the
covered
person.
18
b.
If
a
health
care
provider
initiates
or
pursues
a
19
collection
action
in
violation
of
paragraph
“a”
,
the
covered
20
person
or
the
covered
person’s
guarantor
may
file
for
a
21
declaratory
judgment
with
a
court
of
competent
jurisdiction
22
and
the
health
care
provider
shall
not
continue
the
collection
23
action
against
the
covered
person,
or
the
covered
person’s
24
guarantor,
while
the
lawsuit
is
pending.
If
the
court
finds
in
25
favor
of
the
covered
person,
or
the
covered
person’s
guarantor,
26
the
court
shall
order
the
health
care
provider
to
do
all
of
the
27
following:
28
(1)
Refund
a
payor
any
amount
the
payor
paid
for
the
debt
29
that
is
the
subject
of
the
lawsuit.
30
(2)
Pay
a
penalty
to
the
covered
person,
or
the
covered
31
person’s
guarantor,
in
an
amount
equal
to
the
total
amount
of
32
the
debt
that
is
the
subject
of
the
lawsuit.
33
(3)
Dismiss
with
prejudice,
or
cause
to
be
dismissed
with
34
prejudice,
any
court
action
related
to
the
collection
action
35
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or
the
lawsuit.
1
(4)
Pay
any
attorney
fees
and
costs
incurred
by
the
covered
2
person,
or
the
covered
person’s
guarantor,
related
to
the
3
collection
action
or
the
lawsuit.
4
(5)
Remove
or
cause
to
be
removed
from
the
covered
person’s
5
or
the
covered
person’s
guarantor’s
credit
report
any
report
6
made
to
a
consumer
reporting
agency
related
to
the
debt
that
7
is
the
subject
of
the
lawsuit.
8
11.
Provided
that
a
health
care
provider
does
not
initiate
9
or
pursue
a
collection
action
in
violation
of
this
chapter,
10
this
chapter
shall
not
be
construed
to
prohibit
a
health
care
11
provider
from
billing
a
covered
person,
a
covered
person’s
12
guarantor,
or
a
third-party
payor
including
a
health
insurer,
13
for
health
care
services
provided
to
a
covered
person;
or
to
14
require
a
health
care
provider
to
refund
any
payment
made
to
15
the
health
care
provider
for
a
health
care
service
provided
to
16
a
covered
person.
17
12.
If
a
provision
of
this
chapter
or
its
application
to
18
any
person
or
circumstance
is
held
invalid,
the
invalidity
does
19
not
affect
other
provisions
or
applications
of
this
chapter
20
which
can
be
given
effect
without
the
invalid
provision
or
21
application.
22
EXPLANATION
23
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
24
the
explanation’s
substance
by
the
members
of
the
general
assembly.
25
This
bill
relates
to
certain
cost
controls
for
health
care
26
services
and
may
be
cited
as
“The
Patient’s
Right
to
Save
Act”.
27
Under
the
bill,
all
health
care
providers
(providers)
are
28
required
to
establish
and
disclose
the
discounted
cash
price
29
(cash
price)
the
provider
will
accept
for
specific
health
care
30
services
(services).
“Discounted
cash
price”
is
defined
in
the
31
bill
as
the
price
an
individual
pays
for
a
specific
service
32
if
the
individual
pays
with
cash
or
a
cash
equivalent.
The
33
cash
price
shall
be
available
to
all
covered
persons
(persons)
34
and
to
all
uninsured
individuals.
A
health
carrier
(carrier)
35
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shall
post
the
cash
prices
via
an
easily
accessible
and
secure
1
internet
site,
update
any
change
in
a
cash
price
within
five
2
days
of
the
change,
and
review
each
cash
price
at
least
3
annually.
4
During
the
appointment
scheduling
process,
and
any
intake
5
process
prior
to
the
provision
of
a
service,
persons
and
6
uninsured
individuals
shall
be
informed
of
their
right
to
pay
7
for
the
service
via
the
cash
price.
A
person
shall
also
be
8
advised
that
they
qualify
for
a
deductible
credit
if
they
have
9
not
exceeded
their
deductible
to
date,
and
the
criteria
in
the
10
bill
is
satisfied.
11
A
carrier
shall
not
enter
into
a
contract
that
prevents
the
12
carrier
from
offering
a
cash
price
below
the
contracted
rates
13
the
carrier
has
with
other
commercial
or
public
payors,
or
that
14
prevents
the
carrier
from
disclosing
the
carrier’s
cash
price
15
to
persons.
16
A
person’s
out-of-pocket
pricing
for
each
drug
on
a
17
carrier’s
formulary
shall
be
available
to
a
provider
via
an
18
easily
accessible
and
secure
internet
site
hosted
by
the
19
carrier
at
the
point
the
provider
prescribes
drugs
to
a
person.
20
Each
plan
shall
disclose
to
the
plan’s
covered
persons
the
21
negotiated
charge
for
each
service
that
is
covered
under
the
22
person’s
plan.
If
a
plan
fails
to
disclose
each
negotiated
23
charge,
a
person
may
substitute
a
benchmark
selected
by
the
24
commissioner
of
insurance
(commissioner)
for
the
negotiated
25
charge.
A
person
who
elects
to
receive
service
at
a
cash
26
price
that
is
below
the
deidentified
minimum
negotiated
charge
27
(negotiated
charge)
shall
receive
credit
toward
the
person’s
28
cost-sharing
as
if
the
service
had
been
provided
by
a
network
29
provider.
“Deidentified
minimum
negotiated
charge”
is
defined
30
in
the
bill
as
the
lowest
cost
for
a
specific
service
that
a
31
provider
has
negotiated
with
a
carrier
for
a
person’s
plan.
32
A
plan
shall
not
discriminate
in
the
form
of
payment
for
any
33
in-network
covered
service
solely
on
the
basis
that
the
person
34
was
referred
for
the
service
by
an
out-of-network
provider.
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If
a
person
elects
to
use
a
pharmacy
discount
program,
a
drug
1
manufacturer’s
rebate,
or
other
discount
or
rebate
program
that
2
results
in
a
lower
cost
for
a
drug
than
if
the
person
uses
3
the
person’s
plan,
the
plan
shall
apply
any
payments
made
by
4
the
person
for
the
drug
as
detailed
in
the
bill.
A
plan
is
5
required
to
provide
an
online
form
for
the
purpose
of
a
person
6
submitting
proof
of
payment,
and
to
annually
inform
persons
of
7
their
options
related
to
discounts
and
rebates.
8
Annually
at
enrollment
or
renewal,
a
carrier
shall
provide
9
notice
to
persons
via
the
carrier’s
health
plan
materials
and
10
on
the
carrier’s
internet
site
of
the
option
and
the
process
to
11
receive
a
covered
service
at
a
cash
price
below
the
negotiated
12
charge.
If
a
person
pays
a
cash
price
that
is
above
the
13
negotiated
charge,
the
plan
shall
give
the
person
credit
toward
14
the
person’s
cost-sharing
in
an
amount
equal
to
the
cash
price.
15
If
a
carrier
denies
a
claim
submitted
by
a
person,
the
16
carrier
shall
notify
the
commissioner
and
provide
evidence
17
to
support
the
denial
to
the
person
and
the
commissioner.
A
18
person
may
appeal
a
denial
of
a
claim
to
the
commissioner
as
19
detailed
in
the
bill.
If
the
commissioner
determines
that
20
the
carrier
improperly
denied
the
person’s
claim,
the
carrier
21
shall
pay
the
person’s
costs
and
attorney
fees,
accept
the
22
person’s
claim,
and
provide
cash
compensation
to
the
person
as
23
detailed
in
the
bill.
If
a
carrier
denies
20
or
more
claims
24
in
any
one
quarter,
the
commissioner
shall
have
the
authority
25
to
investigate
the
denials.
If
the
commissioner
finds
that
a
26
health
carrier
has
improperly
denied
claims
under
this
chapter
27
or
committed
an
unfair
or
deceptive
act
or
practice
under
Code
28
section
507B.4(3)(u),
the
commissioner
may
conduct
a
hearing
29
under
Code
section
507B.6.
If,
after
hearing,
the
commissioner
30
determines
that
a
person
has
engaged
in
an
unfair
or
deceptive
31
act
or
practice,
the
commissioner
shall
reduce
the
findings
to
32
writing
and
shall
issue
and
cause
to
be
served
upon
the
person
33
charged
with
the
violation
a
copy
of
such
findings,
an
order
34
requiring
such
person
to
cease
and
desist
from
engaging
in
35
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such
act
or
practice,
and
may
at
the
commissioner’s
discretion
1
order
any
one
or
more
penalties,
license
suspension,
or
license
2
revocation
as
detailed
in
the
bill.
3
For
costs
that
exceed
a
person’s
deductible,
the
person
4
shall
have
access
to
a
program
that
directly
rewards
the
person
5
with
a
savings
incentive
as
detailed
in
the
bill.
6
A
provider
shall
not
initiate
or
pursue
a
collection
action
7
(action)
against
a
person,
or
a
person’s
guarantor,
for
a
8
debt
owed
for
a
service
unless
the
provider
is
in
material
9
compliance
with
the
bill
on
the
date
that
the
service
is
10
provided
to
the
person.
If
a
provider
initiates
or
pursues
an
11
action,
the
person
may
file
for
a
declaratory
judgment
with
12
a
court
of
competent
jurisdiction
and
the
provider
shall
not
13
continue
the
collection
action
while
the
suit
is
pending.
If
14
the
court
finds
in
favor
of
the
person,
the
court
shall
order
15
the
provider
to
comply
with
the
requirements
detailed
in
the
16
bill.
17
Provided
the
provider
does
not
initiate
or
pursue
an
action
18
in
violation
of
the
bill,
the
bill
shall
not
be
construed
19
to
prohibit
a
provider
from
billing
a
person,
a
person’s
20
guarantor,
or
a
third-party
payor,
including
a
health
insurer,
21
for
a
service
provided
to
the
person,
or
to
require
a
provider
22
to
refund
any
payment
made
to
the
provider
for
a
service
23
provided
to
a
person.
24
If
a
provision
of
the
bill
or
its
application
to
any
person
25
or
circumstance
is
held
invalid,
the
invalidity
does
not
affect
26
other
provisions
or
applications
of
the
bill
which
can
be
given
27
effect
without
the
invalid
provision
or
application.
28
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