Surprise Medical Billing

Two House committees – Ways and Means, and Education and Labor – this week advanced separate legislation to address surprise medical bills. These pieces of legislation also are different from a December agreement between leaders from the Senate Health, Education, Labor and Pensions (HELP) Committee…
AHA Ask: AHA supports protecting patients from surprise medical bills. Policymakers should focus on assisting rural hospitals in their negotiations with payers and providing the incentives and resources needed to maintain local access to care and not undermine these communities with potentially…
The AHA supports protecting patients from surprise medical bills and improving patient access to meaningful pricing information. The following resources provide more information on the AHA’s position, including in response to regulatory and legislative proposals.
Overall Talking Points on Surprise Billing Solutions: Patients should be protected from surprise bills. They should not be balance billed for emergency services or for out-of-network services obtained in any in network facility when they reasonably could have assumed that the providers were in-…
The one issue that all stakeholders – hospitals, physicians, insurers and consumers – agree on is that patients should not be balance billed for emergency services, or for services obtained in any in-network facility when the patient could reasonably have assumed that the providers caring for them…
Patients should not be balance billed for emergency services, or for services obtained in any in-network facility when the patient could reasonably have assumed that the providers caring for them were in-network with their health plan.
House Ways and Means Committee Chairman Richard Neal, D-Mass., and Ranking Member Kevin Brady, R-Texas, this morning released legislative text of the Consumer Protections Against Surprise Medical Bills Act of 2020, the committee’s proposal to address surprise medical bills.
The House Ways and Means Committee favorably reported out, as amended, the Consumer Protections Against Surprise Medical Bills Act (H.R. 5826), AHA-supported legislation to address surprise medical bills. 
The House Education and Labor Committee voted 32-13 to report out an amended version of the Ban Surprise Billing Act (H.R. 5800), legislation to address surprise medical bills. The bill relies on a median in-network rate to resolve out-of-network payments.
The AHA expressed support for the Consumer Protections Against Surprise Medical Bills Act of 2020, bipartisan legislation released last week by leaders of the House Committee on Ways and Means.