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<bill bill-stage="Introduced-in-House" dms-id="H12625EE4C3A0463C83ECF0F82B974007" public-private="public" bill-type="olc"> 
<metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>109 HR 1238 IH: Medical Bills Interest Rate Relief Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2005-03-10</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
</dublinCore>
</metadata>
<form> 
<distribution-code display="yes">I</distribution-code> 
<congress>109th CONGRESS</congress> <session>1st Session</session> 
<legis-num>H. R. 1238</legis-num> 
<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber> 
<action> 
<action-date date="20050310">March 10, 2005</action-date> 
<action-desc><sponsor name-id="H000324">Mr. Hastings of Florida</sponsor> (for himself, <cosponsor name-id="S000480">Ms. Slaughter</cosponsor>, <cosponsor name-id="S000033">Mr. Sanders</cosponsor>, <cosponsor name-id="O000159">Mr. Owens</cosponsor>, <cosponsor name-id="S000810">Mr. Stark</cosponsor>, <cosponsor name-id="C000984">Mr. Cummings</cosponsor>, <cosponsor name-id="W001159">Ms. Wasserman Schultz</cosponsor>, <cosponsor name-id="C000380">Mrs. Christensen</cosponsor>, <cosponsor name-id="L000287">Mr. Lewis of Georgia</cosponsor>, <cosponsor name-id="C000714">Mr. Conyers</cosponsor>, <cosponsor name-id="J000032">Ms. Jackson-Lee of Texas</cosponsor>, <cosponsor name-id="B001251">Mr. Butterfield</cosponsor>, <cosponsor name-id="M001148">Mr. Meek of Florida</cosponsor>, <cosponsor name-id="N000147">Ms. Norton</cosponsor>, <cosponsor name-id="W000314">Mr. Wexler</cosponsor>, <cosponsor name-id="C001049">Mr. Clay</cosponsor>, <cosponsor name-id="M001149">Mr. Michaud</cosponsor>, and <cosponsor name-id="P000149">Mr. Payne</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HBA00">Committee on Financial Services</committee-name></action-desc> 
</action> 
<legis-type>A BILL</legis-type> 
<official-title>To express the sense of the Congress with respect to the price and terms of credit used to pay large medical bills, to amend the Truth in Lending Act with respect to credit card issuers obligations for credit extended to pay medical expenses under certain circumstances, and for other purposes.</official-title> 
</form> 
<legis-body id="HA0C774614B774E5ABB984B984E030534" style="OLC"> 
<section id="HF712383BDFD64236BC07E0006FE5F223" section-type="section-one" display-inline="no-display-inline"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Medical Bills Interest Rate Relief Act</short-title></quote>.</text></section> 
<section id="H4C1C2B39177449D8A9E800CF94279B85"><enum>2.</enum><header>Findings; sense of the Congress</header> 
<subsection id="HDF286C6DFDC5492AADA8F7DC3C04EBE9"><enum>(a)</enum><header>Findings</header><text>The Congress finds as follows:</text> 
<paragraph id="H3F139CEA49AF4120BADC1394F0297E5E"><enum>(1)</enum><text display-inline="yes-display-inline">Many families and individuals are forced deep into debt by the combination of large medical bills and excessively high interest rates. </text></paragraph> 
<paragraph id="H10C089F8377244E29C58EE6BC1D3FB63"><enum>(2)</enum><text>The policy journal Health Affairs reports that illness and medical bills cause half of all bankruptcies. </text></paragraph> 
<paragraph id="H8A3C73D8039E453500E85BDF6A13050"><enum>(3)</enum><text>The same report notes that over 2 million Americans are financially ruined by medical care costs each year. </text></paragraph> 
<paragraph id="H2E77C719ACCF43878CD3F3ACE9910012"><enum>(4)</enum><text>Consumers whose debt consists largely of credit extended to pay medical expenses are 42 percent more likely than other debtors to experience lapses in coverage. </text></paragraph> 
<paragraph id="HBDD0FD3BAB79400483F029AF6EDA4C8E"><enum>(5)</enum><text>Many of those forced into bankruptcy by medical expenses are middle class and have health insurance. </text></paragraph> 
<paragraph id="H596962D652F5454E9F703B90D3BDB5D"><enum>(6)</enum><text>Major credit card issuers tie credit card interest rates to credit records and credit scores. </text></paragraph> 
<paragraph id="HA5162E67EBFE49BDA8F382A5AE8EB5BD"><enum>(7)</enum><text>However, previously unforeseen and burdensome medical expenses may arise whereby the hospital-mandated schedule of payment is more than the individual can immediately afford. </text></paragraph> 
<paragraph id="H9492AF17288F40A9AA86FA7CECBBF5E1"><enum>(8)</enum><text>Hospitals often report late- or delinquent-payers to consumer reporting agencies thereby directly affecting the rates, terms, and availability of credit from other sources that might otherwise be used to pay the medical expenses.</text></paragraph> 
<paragraph id="H88A085D03F4647EE99A956987CCDE2AE"><enum>(9)</enum><text>Many individuals and families are forced to place large medical expenses on their credit cards over time. </text></paragraph> 
<paragraph id="HF1C949EBEC844525834BB100109D1D95"><enum>(10)</enum><text>Credit card issuers are able to raise interest rates on late- and delinquent-payers with impunity and without regards to the nature of the delinquency.</text></paragraph> 
<paragraph id="H7B595A59ECA64B788648FE00604500DF"><enum>(11)</enum><text display-inline="yes-display-inline">There currently exists no government-enforced ceiling cap on credit card interest rates.</text></paragraph></subsection> 
<subsection id="H2369D725D3564BE6A526C8548C9D9259"><enum>(b)</enum><header>Purpose</header><text display-inline="yes-display-inline">The purpose of this Act is to stem the loss from rising instances of payment delinquencies and bankruptcies so that people who meet their bill payment requirements on time and in full receive the lowest interest rates.</text></subsection> 
<subsection id="H08F754054CFD41E2B66F93E2C1648A1"><enum>(c)</enum><header>Sense of the Congress</header><text display-inline="yes-display-inline">It is the sense of the Congress that—</text> 
<paragraph id="H838BE225882E4814B245368DFBF943B"><enum>(1)</enum><text display-inline="yes-display-inline">no American family or individual should be forced to choose between the health and life of a loved one and the financial constraints of medical care;</text></paragraph> 
<paragraph id="H5B6EB79560FE497C91602FDB1BB9089C"><enum>(2)</enum><text>financial institutions, including credit card issuers, should not take financial advantage of unforeseen, nonpreventive, or catastrophic medical situations; and</text></paragraph> 
<paragraph id="H613D2C46DA814BC79D71AF9997000497"><enum>(3)</enum><text>individuals or families saddled with large medical bills should receive a fair and equitable credit rating that disregards off-schedule medical bill payments.</text></paragraph></subsection></section> 
<section id="HBEEE4A076FB14F7CB3A1C64B4F2BB822"><enum>3.</enum><header>Credit card issuers obligations for credit extended to pay medical expenses</header><text display-inline="no-display-inline">Section 127 of the Truth in Lending Act (<external-xref legal-doc="usc" parsable-cite="usc/15/1637">15 U.S.C. 1637</external-xref>) is amended by adding at the end the following new subsection:</text> 
<quoted-block style="OLC" id="H7CC5A9F0AC2742DF89F316F6145F3E00" display-inline="no-display-inline"> 
<subsection id="H372FD4B348674FDDB89CF72E0756D8D7"><enum>(h)</enum><header>Credit card issuers obligations for credit extended to pay medical expenses</header> 
<paragraph id="HEB5D0D4E7371439BA2E5E887D6E6859F"><enum>(1)</enum><header>In general</header><text>If, with respect to a credit card account under an open end consumer credit plan, the consumer notifies the credit card issuer of anticipated, any upcoming medical expense to be incurred by the consumer, or a member of the consumer’s household, within 30 days of the date of the expense—</text> 
<subparagraph id="HBD0D03941A4C49248374D53FC41DC185"><enum>(A)</enum><text>the annual percentage rate on credit extended under the plan to pay such medical expenses shall not exceed the annual percentage rate in effect for any outstanding balance of the consumer under the plan at the time such notice is given; and</text></subparagraph> 
<subparagraph id="H87BB9A4F203F4282887C10EDE6BEAD04"><enum>(B)</enum><text>the annual percentage rate extended under the plan to pay nonmedical expenses may not be increased on the basis of, or due to, the extension of credit to pay such medical expenses.</text></subparagraph></paragraph> 
<paragraph id="H3E225368A81E46BE836B1B4FC897C1E8"><enum>(2)</enum><header>Medical expenses</header><text>For purposes of this subsection, the term <quote>medical expenses</quote> includes necessary treatments, drugs, tests, hospital stays, and expenses, doctor fees, and elective surgeries.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></section> 
<section id="H2D46FD3BEB514B95B24358E283797507"><enum>4.</enum><header>Credit history reporting requirement in case of certain medical expenses</header><text display-inline="no-display-inline">Section 623 of the Fair Credit Reporting Act (<external-xref legal-doc="usc" parsable-cite="usc/15/1681s-2">15 U.S.C. 1681s–2</external-xref>) is amended by adding at the end the following new subsection:</text> 
<quoted-block style="OLC" id="H3BE7B42145B5445EB6B983EA3CD0B4AB" display-inline="no-display-inline"> 
<subsection id="H664B6AE6417941BDA9ABB44D91371371"><enum>(f)</enum><header>Reports furnished by hospitals</header> 
<paragraph id="HF8F3DDCB3DD7464B9BDDBEE30831466"><enum>(1)</enum><header>In general</header><text>If a consumer, who is unable to make full payments for medical expenses (as defined in section 127(h)(2)) to a hospital or other medical treatment facility in accordance with a schedule of payments imposed by such hospital or facility, continues, in good faith, to make partial payments on the outstanding balance on the prescribed due dates under such schedule, the hospital or facility may not submit negative information relating to the failure of such consumer to maintain the payment schedule in full during the 5-year period beginning when the consumer first fails to make full payment under the payment schedule.</text></paragraph> 
<paragraph id="HA0925202984D45E2BFFB2331EF003E45"><enum>(2)</enum><header>Good faith partial payment</header><text>For purposes of paragraph (1), a consumer shall be deemed to be making partial payments in good faith on the prescribed due dates if the consumer is paying at least 20 percent of the amount of the scheduled payment for each due date.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></section> 
<section id="H9720786D652D497BB5FBDE4432BB9EF"><enum>5.</enum><header>Effective Date</header><text display-inline="no-display-inline">This Act and the amendments made by this Act shall take effect on January 1, 2006.</text></section> 
</legis-body> 
</bill> 


