Direct Billing Act

Summary

Direct Billing Act - Amends the Public Health Service Act to make it unlawful for any person to present a bill, claim, or demand for payment to any person other than the patient receiving services. Makes it unlawful for any physician to present a bill for ancillary health services to any recipient of such services unless the services were furnished personally by: (1) the referring physician; (2) a physician who is a member of the same group practice as the referring physician; or (3) individuals employed by such physician or group practice who are supervised by such physician or another physician in the group practice. Makes such prohibitions inapplicable with respect to ancillary health services for which payment may be made under title XVIII (Medicare) of the Social Security Act. Provides exceptions to such prohibitions, including demands for payments made to immediate family members, designated payors of the patient, or a health maintenance organization in which a recipient is enrolled. Provides sanctions against those collecting payment in violation of this Act. Allows the Secretary of Health and Human Services to suspend, revoke, or limit a laboratory certification as part of such sanctions. Defines "ancillary health services" as clinical laboratory services, diagnostic x-rays and other diagnostic imaging services and tests, durable medical equipment, and physical therapy services.

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Timeline

1. 6 April 1995

   Introduced

   Introduced in House

   Source: IntroReferral

2. 6 April 1995

   Introduced

   Introduced in House

   Source: IntroReferral

3. 6 April 1995

   Introduced

   Referred to the House Committee on Commerce.

   Source: IntroReferral

4. 24 April 1995

   Referred

   Referred to the Subcommittee on Health and Environment.

   Source: Committee

Votes

No vote records are attached yet.

Versions

• Introduced in House · 6 April 1995 · Official file

Documents

3 official files

• Introduced in House (text)

  Introduced in House · EN · 6 April 1995

  ViewDownloadOpen at official source

• Introduced in House (PDF)

  Introduced in House · EN · 6 April 1995

  ViewDownloadOpen at official source

• Introduced in House

  summary · EN · 6 April 1995

  Open at official source

Sponsors

• FRED UPTON · R · Sponsor
• Sen. Brown, Sherrod [D-OH] · D · Sponsor
• Rep. Coble, Howard [R-NC-6] · R · Cosponsor
• · hsif00 · Standing

Related records

No cross-record relationships stored yet.