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Idaho Introduces ‘Idaho Patient Act’ Relating to Medical Collections

medical debtIdaho HB 425, the Idaho Patient Act, was introduced on Feb. 6, 2020, to address the perceived issue that “current Idaho law enables excessive attorney’s fees and fails to provide judges with clear guidance to combat abuses of the collections process.” This proposed law would apply to “any person” and does not limit its application to debt collectors.

The bill establishes requirements for taking “extraordinary collection actions” against a “patient.” Extraordinary collection actions are defined as any of the following in connection with a patient’s debt:

  • Prior to 60 days from the patient’s receipt of a “final statement,” selling, transferring, or assigning any amount of a patient’s debt to any third party, or otherwise authorizing any third party to collect the debt in a name other than the name of the health care provider;
  • Reporting adverse information about the patient to a consumer reporting agency; or
  • Commencing any judicial or legal action or filing or recording any document in relation thereto, including but not limited to:
    • (i) Placing a lien on a person’s property or assets;
    • (ii) Attaching or seizing a person’s bank account or any other personal property;
    • (iii) Initiating a civil action against any person; or
    • (iv) Garnishing an individual’s wages.

The bill also defines the requirements of a final statement which would be required to include particular information and disclosures.

Before taking “extraordinary collection actions” all of the following requirements must be satisfied:

  1. The health care provider submits its charges to third-party payors within 45 days of the date of service or discharge, whichever is later;
  2. The patient receives a “consolidated summary of services” within 60 days of the date of service or discharge, whichever is later;
  3. The patient receives a final statement from the billing entity of the health care provider;
  4. The health care provider does not charge or accrue any interest, fees or other charges until 60 days from the patient’s receipt of the final statement; and
  5. 180 days have passed from the patient’s receipt of the final statement “and final resolution of all internal reviews, good faith disputes, and appeals of any charges or third-party payor obligations or payments.

Fees and costs associated with extraordinary collection actions are limited to the following unless a petition for a supplemental award is granted:

  • Uncontested Judgment: $350 or an amount equal to 100% of the outstanding principal, whichever is less, plus prejudgment interest.
  • Contested Judgment: $750 or an amount equal to 100% of the outstanding principal, whichever is less, plus prejudgment interest.
  • Postjudgment Motions and Writs: $75 for any successful motion or application for a writ and $25 for subsequent applications for writs.

And, if the patient in “a contested judgment is a prevailing party,” the patient can recover attorney’s fees and costs “in contesting the action.”  

Finally, persons who take “extraordinary collection actions” in violation of the proposed law would be liable for the greater of the patient’s actual damages or $1,000.

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Eric Rosenkoetter is a principal at Maurice Wutscher LLP, and is focused on advising clients with respect to federal and state consumer financial protection laws and data privacy and security, and he is a Certified Information Privacy Professional though the International Association of Privacy Professionals. He also brings to the table experience as a litigator, chief compliance and ethics officer, director of legislative affairs, federal lobbyist, and administrative hearings officer. Eric earned his Juris Doctor from Washington University School of Law, and his Bachelor of Business Administration from Southern Methodist University. He is a member of the International Association of Privacy Professionals, the Receivables Management Association International (RMAI), and ACA International. He is admitted to practice law in Texas and Missouri and in the U.S. District Courts for the Northern, Southern, Eastern, and Western Districts of Texas. For more information, see https://mauricewutscher.com/attorneys/eric-rosenkoetter/

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