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12/11/2018 01:27 AM
Pennsylvania House of Representatives

House Committee Roll Call Votes

Committee HEALTH Date December 11, 2017
Bill/Resolution HB1553 PN2033 A05207 Type of Motion Adopt Amendment
Maker of Motion Rep. Fabrizio Seconded by Rep. Corbin
Brief Description The amendment changes the definition of surprise balance billing to assure the Act only applies in situations where the patient did not chose to have the services provided by an out-of-network provider. Additionally, it adds a definition for usual, customary and reasonable rate. The payment structure for disputed claims is also changed so that claims of $500 or less will be paid the higher of the usual, customary and reasonable rate or the insurers in-network rate for the same service. For claims which are over $500, arbitration will still apply. It also makes further technical amendments.

Majority Members

Baker, Matthew E. - Chair
Bernstine, Aaron
Charlton, Alexander T.
Corbin, Becky
Cox, Jim
Evankovich, Eli
Hill, Kristin
Kaufer, Aaron D.
Keefer, Dawn W.
Lawrence, John A.
Lewis, Harry
Schemel, Paul
Topper, Jesse
Ward, Judy
White, Martina A.
Zimmerman, David H.

Minority Members

Fabrizio, Florindo J. - Chair
Boyle, Kevin J.
Brown, Vanessa L.
Daley, Mary Jo
Dawkins, Jason
DeLissio, Pamela A.
Gainey, Ed
Kinsey, Stephen
Kirkland, Brian
Mullery, Gerald J.
Schlossberg, Michael H.

Vote Summary

YEAS: 24
NV: 3