Home Table of Contents

§ 3053. Patient notice of observation services

Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 40 P.S. InsuranceEffective: April 20, 2015

Purdon's Pennsylvania Statutes and Consolidated Statutes
Title 40 P.S. Insurance (Refs & Annos)
Chapter 10D. Hospital Observation Status Consumer Notification Act
Effective: April 20, 2015
40 P.S. § 3053
§ 3053. Patient notice of observation services
Currentness
(a) Duty.--A hospital shall provide notice to a patient or patient's designee of the patient's outpatient status, and information that provides a general description of outpatient observation status, if all of the following apply:
(1) The patient receives onsite services from the hospital for more than 23 consecutive hours.
(2) The onsite services received by the patient include a hospital bed and meals that have been provided in an area of the hospital other than the hospital emergency room.
(3) The patient has not been formally admitted as an inpatient at the hospital.
(b) Contents.--A patient notice required under subsection (a) shall include a statement that:
(1) outpatient observation status may impact coverage determinations made by the Federal Medicare Program or the patient's insurance company for hospital and posthospital payments;
(2) final decisions related to outpatient observation status can be made after a patient is no longer a patient at the hospital and after a patient has received hospital services or other services; and
(3) a patient should contact Medicare, Medicaid or any other insurance provider if the patient has specific questions about the coverage.
(c) Information.--A hospital shall provide information to a patient concerning observation status as follows:
(1) by written notice; and
(2) by oral notice, which must include a summary of the notice provided under paragraph (1) or, at the request of the patient, the notice provided under paragraph (1).

Credits

2014, Oct. 22, P.L. 2633, No. 169, § 3, effective in 180 days [April 20, 2015].
40 P.S. § 3053, PA ST 40 P.S. § 3053
Current through Act 10 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
End of Document