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Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
2026-07-06 10:51:44 -04:00

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LegalText 42 U.S.C. § 300gg133 Provider requirements with respect to disclosure on patient protections against balance billing us united_states_code code_section 42 THE PUBLIC HEALTH AND WELFARE 6A PUBLIC HEALTH SERVICE 300gg133 42 U.S.C. § 300gg133 current 119-100 2026-06-26 official https://uscode.house.gov/download/releasepoints/us/pl/119/100/xml_usc42@119-100.zip /us/usc/t42/s300gg133 data/legal/raw/us/code/title-42/usc42.xml 963adf6f60da0320f47fa6601070461b967ef8457aa18c32812722f927f323ce 644321055a08eb1f260a6a3e31ac157fa024756abf612a9fd6857e7e400cf24e 269341f6b97d9c2c5322acd4ebc6839930c67bfb1c4cafe806306390d7023b0e 2026-07-04 official
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42 U.S.C. § 300gg133 - Provider requirements with respect to disclosure on patient protections against balance billing

Text

Beginning not later than January 1, 2022, each health care provider and health care facility shall make publicly available, and (if applicable) post on a public website of such provider or facility and provide to individuals who are participants, beneficiaries, or enrollees of a group health plan or group or individual health insurance coverage offered by a health insurance issuer a one-page notice (either postal or electronic mail, as specified by the participant, beneficiary, or enrollee) in clear and understandable language containing information on—

(1) the requirements and prohibitions of such provider or facility under sections 300gg131 and 300gg132 of this title (relating to prohibitions on balance billing in certain circumstances);

(2) any other applicable State law requirements on such provider or facility regarding the amounts such provider or facility may, with respect to an item or service, charge a participant, beneficiary, or enrollee of a group health plan or group or individual health insurance coverage offered by a health insurance issuer with respect to which such provider or facility does not have a contractual relationship for furnishing such item or service under the plan or coverage, respectively, after receiving payment from the plan or coverage, respectively, for such item or service and any applicable cost-sharing payment from such participant, beneficiary, or enrollee; and

(3) information on contacting appropriate State and Federal agencies in the case that an individual believes that such provider or facility has violated any requirement described in paragraph (1) or (2) with respect to such individual.

(July 1, 1944, ch. 373, title XXVII, § 2799B3, as added Pub. L. 116260, div. BB, title I, § 104(a), Dec. 27, 2020, 134 Stat. 2829.)