[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 4350 Introduced in Senate (IS)]

<DOC>






116th CONGRESS
  2d Session
                                S. 4350

  To provide immediate relief for patients from certain medical debt 
  collection efforts during and immediately after the COVID-19 public 
                           health emergency.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             July 29, 2020

 Mr. Van Hollen (for himself and Mr. Murphy) introduced the following 
  bill; which was read twice and referred to the Committee on Health, 
                     Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
  To provide immediate relief for patients from certain medical debt 
  collection efforts during and immediately after the COVID-19 public 
                           health emergency.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``COVID-19 Medical Debt Collection 
Relief Act of 2020''.

SEC. 2. RELIEF FROM MEDICAL DEBT COLLECTION.

    (a) Definitions.--In this section:
            (1) Covered period.--The term ``covered period'' means the 
        period beginning on February 1, 2020, and ending on the date 
        that is the later of--
                    (A) the end of the incident period with respect to 
                the emergency involving Federal primary responsibility 
                determined to exist by the President under section 
                501(b) of the Robert T. Stafford Disaster Relief and 
                Emergency Assistance Act (42 U.S.C. 5191(b)) with 
                respect to the coronavirus disease 2019 (COVID-19); or
                    (B) 18 months after the date of enactment of this 
                Act.
            (2) Covered provider.--The term ``covered provider'' means 
        any entity or individual that--
                    (A) provides health care services to patients; and
                    (B) has applied for or accepted any Federal funds 
                for COVID-19 health care costs or financial relief, 
                including funds allocated under the Families First 
                Coronavirus Response Act (Public Law 116-127), the 
                CARES Act (Public Law 116-136), or any other Federal 
                law that allocates COVID-19 relief funding.
            (3) Extraordinary collection actions.--The term 
        ``extraordinary collection actions'' means the actions 
        described in section 1.501(r)-6(b) of title 26, Code of Federal 
        Regulations.
            (4) Medical debt.--The term ``medical debt'' means a debt 
        arising from the receipt of medical services, products, or 
        devices.
            (5) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services.
    (b) Suspension of Collection Activities.--A covered provider and 
agents operating on behalf of covered providers shall suspend all 
extraordinary collection actions relating to the collection of a 
medical debt relating to a patient during the covered period.
    (c) Suspension of Repayment Plans.--
            (1) In general.--With respect to a patient who has entered 
        into a repayment plan with a covered provider relating to a 
        medical debt, such provider shall suspend such repayment plan 
        upon the request of the patient or the patient's guardian for 
        the duration of the covered period, and ensure the application 
        of reasonable forbearance and repayment options when such 
        repayments resume. Such options may include maintaining the 
        same payment schedule with respect to the medical debt by 
        extending the repayment period by the same period of time that 
        payments were suspended under the previous sentence.
            (2) Interest and fees.--Interest or fees shall not accrue 
        during the period in which a payment plan is suspended under 
        paragraph (1).
    (d) Application of Certain Consumer Protections.--
            (1) In general.--Medical debt incurred during the period 
        beginning on February 1, 2020, and ending on the date that is 
        60 days after the lifting of the state of emergency for COVID-
        19-related testing and treatment (as determined by the 
        Secretary) shall be subject to the following consumer 
        protections:
                    (A) A one-year extension of Federal and State 
                health insurance appeal deadlines, including the 
                deadlines set forth in section 2719 of the Public 
                Health Service Act (42 U.S.C. 300gg-19) and sections 
                2590.715 through 2179 of title 29, Code of Federal 
                Regulations, and the appeal and grievance deadlines for 
                the denials of Medicare or Medicaid claims under titles 
                XVIII and XIX of the Social Security Act (42 U.S.C. 
                1395 and 1396 et seq.).
                    (B) A prohibition on the accrual and collection of 
                fees and interest related to the medical debts 
                involved.
                    (C) A prohibition on any extraordinary collection 
                actions as described in section 1.501(r)-6(b) of title 
                26, Code of Federal Regulations.
            (2) COVID-19-related testing and treatment.--For purposes 
        of paragraph (1), the term ``COVID-19-related testing and 
        treatment'' includes items and services (including in-person or 
        telehealth visits in which such items and services are 
        furnished) that are furnished--
                    (A) to an individual who has been diagnosed with 
                (or after the provision of such items and services is 
                diagnosed with) COVID-19 to treat or mitigate the 
                effects of COVID-19; and
                    (B) to an individual who is presumed by a health 
                care provider to have COVID-19 but is never diagnosed 
                as such.
    (e) Penalties.--Except as provided in this section, a covered 
provider or its agent that fails to comply with any provision of this 
section with respect to a patient shall be liable to such patient for 
damages in an amount equal to the sum of--
            (1) any actual damages sustained by such patient as a 
        result of such failure to comply;
            (2) in the case of an action commenced--
                    (A) by an individual, any additional damages as the 
                court may permit, but not to exceed $1,000 for each 
                failure to comply; or
                    (B) by a class of patients--
                            (i) such amount for each named plaintiff as 
                        could be recovered under paragraph (1) and 
                        subparagraph (A); and
                            (ii) such amount as the court may allow for 
                        all other class members, without regard to a 
                        minimum individual recovery, not to exceed the 
                        lesser of $2,000,000 or 1 percent of the annual 
                        net income of the covered provider; and
            (3) in the case of any successful action under this 
        section, the costs of the action, together with a reasonable 
        attorney's fee as determined appropriate by the court.
                                 <all>