---
kind: "section"
citation: "42 U.S.C. § 300gg–133"
title: "42"
title_heading: "The Public Health and Welfare"
number: "300gg–133"
heading: "Provider requirements with respect to disclosure on patient protections against balance billing"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/300gg-133"
units:
  - "Chapter 6A — Public Health Service"
  - "Subchapter XXV — Requirements Relating to Health Insurance Coverage"
  - "Part E — Health Care Provider Requirements"
---

# §300gg–133. Provider requirements with respect to disclosure on patient protections against balance billing


Beginning not later than January 1, 2022, each [health care provider](/usc/42/300aa–33.md?p=1) and health care facility shall make publicly available, and (if applicable) post on a public website of such [provider](/usc/42/299b–21.md?p=8) or facility and provide to individuals who are [participants](/usc/42/300gg–91.md?p=d-11), [beneficiaries](/usc/42/300gg–91.md?p=d-2), or enrollees of a [group health plan](/usc/42/300bb–8.md?p=1) or group or [individual health insurance coverage](/usc/42/300gg–91.md?p=b-5) offered by a [health insurance issuer](/usc/42/300gg–91.md?p=b-2) a one-page notice (either postal or electronic mail, as specified by the [participant](/usc/42/300gg–91.md?p=d-11), [beneficiary](/usc/42/300gg–91.md?p=d-2), or enrollee) in clear and understandable language containing information on—

- (1) the requirements and prohibitions of such [provider](/usc/42/299b–21.md?p=8) or facility under sections [300gg–131](/usc/42/300gg–131.md) and [300gg–132](/usc/42/300gg–132.md) of this title (relating to prohibitions on balance billing in certain circumstances);
- (2) any other applicable [State](/usc/42/201.md?p=f) law requirements on such [provider](/usc/42/299b–21.md?p=8) or facility regarding the amounts such [provider](/usc/42/299b–21.md?p=8) or facility may, with respect to an item or [service](/usc/42/201.md?p=a), charge a [participant](/usc/42/300gg–91.md?p=d-11), [beneficiary](/usc/42/300gg–91.md?p=d-2), or enrollee of a [group health plan](/usc/42/300bb–8.md?p=1) or group or [individual health insurance coverage](/usc/42/300gg–91.md?p=b-5) offered by a [health insurance issuer](/usc/42/300gg–91.md?p=b-2) with respect to which such [provider](/usc/42/299b–21.md?p=8) or facility does not have a contractual relationship for furnishing such item or [service](/usc/42/201.md?p=a) under the plan or coverage, respectively, after receiving payment from the plan or coverage, respectively, for such item or [service](/usc/42/201.md?p=a) and any applicable cost-sharing payment from such [participant](/usc/42/300gg–91.md?p=d-11), [beneficiary](/usc/42/300gg–91.md?p=d-2), or enrollee; and
- (3) information on contacting appropriate [State](/usc/42/201.md?p=f) and Federal [agencies](/usc/42/8262.md?p=1) in the case that an individual believes that such [provider](/usc/42/299b–21.md?p=8) or facility has violated any requirement described in paragraph [(1)](#1) or [(2)](#2) with respect to such individual.

## Source credit

(July 1, 1944, ch. 373, title XXVII, § 2799B–3, as added Pub. L. 116–260, div. BB, title I, § 104(a), Dec. 27, 2020, 134 Stat. 2829.)
