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Tuesday, Aug 30 2016

Full Issue

California Inches Closer To Passing Measure Protecting Patients From Surprise Bills

The battle in California could influence bills pending in states across the country, including Pennsylvania, New Jersey, Georgia, Hawaii and Missouri.

A measure to protect California consumers from surprise medical bills 鈥 among the longest-debated issues to be considered by state lawmakers 鈥 moved closer than it鈥檚 ever been to becoming law when the Senate approved it Monday with a 35-1 vote. The bill would relieve patients from having to pay surprise medical bills out of pocket by requiring insurers to reimburse out-of-network doctors and other health providers a 鈥渇air amount鈥 and doctors to accept the payments, said its author, Assemblyman Rob Bonta (D-Oakland). That rate would be 125 percent of the amount Medicare pays for the same service or the insurer鈥檚 average contracted rate for the service, whichever is greater. (Ibarra, 8/30)

For the second time in as many years, California legislators are debating a bill that would protect patients from paying surprise medical bills聽when they inadvertently get treatment from doctors who are not covered by their insurance. Under the bill, AB 72, consumers would聽only pay the equivalent of in-network rates if, for example, during surgery covered by insurance, they are treated by an out-of-network anesthesiologist, or have X-rays read by an out-of-network radiologist. AB 72聽is in the California Senate and must be approved before going to the state assembly and governor.聽The state legislature has until Aug. 31 to act, or the bill effectively dies in committee. (Ross, 8/29)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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