---
kind: "section"
citation: "42 U.S.C. § 300gg–136"
title: "42"
title_heading: "The Public Health and Welfare"
number: "300gg–136"
heading: "Provision of information upon request and for scheduled appointments"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/300gg-136"
units:
  - "Chapter 6A — Public Health Service"
  - "Subchapter XXV — Requirements Relating to Health Insurance Coverage"
  - "Part E — Health Care Provider Requirements"
---

# §300gg–136. Provision of information upon request and for scheduled appointments


Each [health care provider](/usc/42/300aa–33.md?p=1) and health care facility shall, beginning January 1, 2022, in the case of an individual who schedules an item or [service](/usc/42/201.md?p=a) to be furnished to such individual by such [provider](/usc/42/299b–21.md?p=8) or facility at least 3 business days before the date such item or [service](/usc/42/201.md?p=a) is to be so furnished, not later than 1 business day after the date of such scheduling (or, in the case of such an item or [service](/usc/42/201.md?p=a) scheduled at least 10 business days before the date such item or [service](/usc/42/201.md?p=a) is to be so furnished (or if requested by the individual), not later than 3 business days after the date of such scheduling or such request)—

- (1) inquire if such individual is enrolled in a [group health plan](/usc/42/300bb–8.md?p=1), 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), or a Federal health care [program](/usc/42/274l–1.md?p=4) (and if is so enrolled in such plan or coverage, seeking to have a claim for such item or [service](/usc/42/201.md?p=a) submitted to such plan or coverage); and
- (2) provide a notification (in clear and understandable language) of the good faith estimate of the expected charges for furnishing such item or [service](/usc/42/201.md?p=a) (including any item or [service](/usc/42/201.md?p=a) that is reasonably expected to be provided in conjunction with such scheduled item or [service](/usc/42/201.md?p=a) and such an item or [service](/usc/42/201.md?p=a) reasonably expected to be so provided by another [health care provider](/usc/42/300aa–33.md?p=1) or health care facility), with the expected billing and diagnostic codes for any such item or [service](/usc/42/201.md?p=a), to—
  - (A) in the case the individual is enrolled in such a plan or such coverage (and is seeking to have a claim for such item or [service](/usc/42/201.md?p=a) submitted to such plan or coverage), such plan or issuer of such coverage; and
  - (B) in the case the individual is not described in [subparagraph (A)](#2-A) and not enrolled in a Federal health care [program](/usc/42/274l–1.md?p=4), the individual.

## Source credit

(July 1, 1944, ch. 373, title XXVII, § 2799B–6, as added Pub. L. 116–260, div. BB, title I, § 112, Dec. 27, 2020, 134 Stat. 2866.)