Bipartisan senators unveil proposal to crack down on surprise medical bills

Bipartisan senators unveil proposal to crack down on surprise medical bills
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A bipartisan group of senators is unveiling a draft measure to crack down on surprise medical bills, which they say have plagued patients with massive unexpected charges for care.

The measure would prevent a health care provider that is outside of a patient’s insurance network from charging additional costs for emergency services to patients beyond the amount usually allowed under their insurance plan.

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The insurer, not the patient, would have to pay additional charges, which are limited under the proposal.  

The bill targets situations like one that received a flood of national attention last month, when NPR and Kaiser Health News reported on a high school teacher who was charged $109,000 by the hospital that cared for his heart attack, even after his insurance had already paid $56,000.

Sen. Bill CassidyWilliam (Bill) Morgan CassidyMnuchin meets with Senate GOP to shore up ranks on Russia sanctions vote Trump on declaring national emergency: 'Not going to do it so fast' Acosta mocked for border reporting: 'Exactly – walls work!' MORE (R-La.), a sponsor of the bill, said the measure would mean patients don’t “get this surprise billing which is basically uncapped by anything but a sense of shame.”

Sens. Tom CarperThomas (Tom) Richard CarperIRS shutdown plan fails to quell worries Dems blast EPA nominee at confirmation hearing Last-minute deal extends program to protect chemical plants MORE (D-Del.), Todd YoungTodd Christopher YoungGOP senators propose bill to pay 'excepted' workers during shutdown Trump's military moves accelerate GOP search for next McCain Kevin McLaughlin tapped to serve as NRSC executive director for 2020 MORE (R-Ind.), Claire McCaskillClaire Conner McCaskillThe Hill’s 12:30 Report: Trump AG pick Barr grilled at hearing | Judge rules against census citizenship question | McConnell blocks second House bill to reopen government Ex-Sen. McCaskill joins NBC, MSNBC Some Senate Dems see Ocasio-Cortez as weak spokeswoman for party MORE (D-Mo.), Michael BennetMichael Farrand BennetCracks beginning to show in GOP shutdown resolve WHIP LIST: Who’s in and out in the 2020 race Would-be 2020 Dem candidates head for the exits MORE (D-Colo.) and Chuck GrassleyCharles (Chuck) Ernest GrassleyDem calls for Cohen to testify before Senate panel over explosive report Senate Republicans eye rules change to speed Trump nominees IRS shutdown plan fails to quell worries MORE (R-Iowa) are also supporting the measure. Those lawmakers are part of a working group on health care price transparency that says it plans to put forward additional legislation as well.

“I think this is common ground in the health care debate,” Cassidy said.

“No American should have to file bankruptcy or fall into poverty as a result of a serious ailment or unexpected medical emergency,” Carper said in a statement. “The Affordable Care Act made great progress in reducing rates of medical bankruptcies, and this bipartisan discussion draft will build on that progress by protecting patients from surprise medical bills after they are treated in emergency situations or receive care from an out-of-network provider.”

The bill would also require health care providers to give written notification to patients who receive emergency care at an out-of-network facility before they receive any follow-up nonemergency care. That move is intended to warn patients before they are subject to additional costs at an out-of-network hospital.

Patients also could not be charged more for care from out-of-network doctors at an in-network hospital. That situation sometimes arises even when patients go to a hospital that is in their network, if some doctors within that hospital, for example an anesthesiologist, charge larger amounts as if they are out-of-network.

Cassidy said lawmakers will now work to refine their discussion draft before formally introducing a bill. He said he does not plan to push for consideration of the bill until the beginning of the next Congress, in January.