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HomeHealth and Safety CodeDiv. 107Pt. 2Ch. 2.5Art. 2§ 127461 Discounted Payment Policy Exclusion

§ 127461 Discounted Payment Policy Exclusion

Health and Safety Code·California
AI Summary·Official Text·Key Terms·Related Statutes·References
AI SummaryVerified

§ 127461 Discounted Payment Policy Exclusion

Key Takeaways

  • •If a doctor gives a discount to someone in an emergency, that lower price doesn’t count as their normal price.
  • •The discounted price can’t be used to figure out what the doctor usually charges.
  • •This rule is for programs like Medicare and Medi-Cal, so they don’t pay less just because someone got a discount.

Example

You go to the emergency room and the doctor gives you a discount because you can’t afford the full price.

The hospital can’t use that discounted price to say that’s what they usually charge. Programs like Medicare will still pay based on the doctor’s normal prices, not the discounted one.

AI-generated — May contain errors. Not legal advice. Always verify source.

Official Source
View on CA.gov

§ 127461 Discounted Payment Policy Exclusion

Notwithstanding any other provision of law, the amounts paid by parties for services resulting from reduced or waived charges under an emergency physician’s discounted payment policy shall not constitute an emergency physician’s uniform, published, prevailing, or customary charges, its usual fees to the general public, or its charges to non-Medi-Cal purchasers under comparable circumstances, and shall not be used to calculate an emergency physician’s median non-Medicare or non-Medi-Cal charges, for purposes of any payment limit under the federal Medicare Program, the Medi-Cal program, or any other federal or state-financed health care program. (Added by Stats. 2010, Ch. 445, Sec. 4. (AB 1503) Effective January 1, 2011.)

Last verified: January 23, 2026

Key Terms

emergency physician’s discounted payment policyuniform, published, prevailing, or customary chargespayment limitfederal Medicare ProgramMedi-Cal program

Related Statutes

  • § 127445 Discounted Payments Exclusion
  • § 101658 Central Coast Hospital Authority
  • § 101659 Employee Retention And Seniority
  • § 127450 Emergency Care Financial Allowance
  • § 127451 License Violation Exclusion

References

  • Official text at leginfo.legislature.ca.gov
  • California Legislature. Health and Safety Code. Section 127461.
View Official Source