AN ACT RELATING TO HEALTH AND SAFETY -- PREVENTING UNWARRANTED FACILITY FEES

HB 7937 prohibits hospitals and health systems from charging facility fees for healthcare services provided off-campus (outside the defined campus area or via telemedicine). It requires all off-campus locations to use unique identification numbers (NPIs) starting January 1, 2027, to ensure claims accurately reflect where services were delivered. The bill mandates that providers submit separate professional fee claims (using forms like CMS-1500) instead of institutional claims for off-site care, with reimbursement limited to professional fees only. This directly affects hospitals, health systems, and patients receiving care at off-campus locations like urgent care centers or telehealth services.