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Then mom passed away. And my older sis rode with her in the ambulance to the ER. My sis asked the same question. And did not sign the bottom line. Yet, months later, I got a bill with MY name on it saying that I'm responsible for mom's hospital bill. I knew it couldn't be me because I was at work when mom died. So, I went to the hospital, they pulled up the admission form, and there was my sister's name on the top signature line but NOT on the bottom line. The lady apologized and said that my name should not be on this billing. She will correct it.
So, yes, if the insurance doesn't pay for the full amount, and your mom doesn't pay off the balance, the hospital can now go after your brother.
Can your mother afford to pay the co-pays? If she can and does there will not be a problem.