American Hospital Association September 2, 2021
Hospitals and health systems have long advocated for protecting patients from certain unexpected medical bills while preserving their access to care. The No Surprises Act achieves these patient protections while preserving the ability of plans and providers to negotiate on reimbursement. The law also creates an independent resolution process as a backstop in the event a dispute occurs between a plan and provider. The Administration is now tasked with implementing this process.
As Congress deliberated the best way to protect patients from surprise medical bills, a number of states moved forward with protections of their own. While necessarily smaller in scope than the federal law, these states’ experiences give us important insights into how similar protections at the federal...