Congress to the rescue?
Surprise billing is one of the few areas that could see bipartisan action in Washington, D.C. Last year, lawmakers on both sides of the aisle introduced bills to curb or at least minimize the impact of surprise bills.
Protecting Patients from Surprise Medical Bills Act would:
• Limit patient cost-sharing to the amount they’d owe an in-network provider
• Establish payment standards detailing what insurers would owe providers in those cases
• Prohibit balance billing by providers
• Once a patient is stabilized in an out-of-network emergency room, the provider would have to notify them of the potential for higher costs if they remain in the facility
No More Surprise Medical Bills Act would:
• Restrict charges to in-network levels
• Require insurers to count the cost-sharing amount for surprise out-of-network bills toward in-network deductible and out-of-pocket limits
• Establish binding arbitration in cases where insurers and providers can’t reach agreement