Under current law, out-of-network medical providers are able to bill patients for services that were not paid by the insurer, which can lead to patients incurring large unexpected medical costs. NAHU is working with a bipartisan group of legislators both in Congress and in state legislatures to introduce legislation to combat these balance-billing practices, and we are looking for real-life scenarios your clients have faced.
Federal legislation is likely to be introduced early next year and would address three scenarios of medical billing: emergency services provided by an out-of-network provider in an out-of-network facility; non-emergency services following an emergency service from an out-of-network facility; and non-emergency services performed by an out-of-network provider at an in-network facility. Additionally, several states are considering similar bills that we are actively working on with state chapters to inform lawmakers and improve the legislation.
The newly divided Congress will likely draft legislation that can attract bipartisan support for passage, and we believe such a bill could attract their interest and support to become a top priority in the new year. As a licensed insurance specialist who works with consumers on these issues on a daily basis, your stories can help shape this legislation, both at a federal and state level, demonstrating the changes that are needed and having meaningful impact for your clients. Share your story.