Who Is Impacted by Surprise Billing Legislation? [Infographic]
Surprise medical bills are unexpected charges for procedures or services conducted by out-of-network providers. Since 2014, nine states have enacted legislative measures that protect patients from surprise medical costs. In 2019, the President called for Congress to draft federal legislation on the matter. This move was due in part to regulatory roadblocks that hinder the scope of state laws. What Is Surprise Billing? Surprise billing is often the result of urgent visits to the ER, where patients may not have the time or cognitive ability to decline out-of-network treatments. For example, emergency care services, such as ambulance rides, are not always supplied by in-network providers, leaving the patient to cover the additional costs. Surprise billing can also occur after routine, in-patient procedures. Specialized services administered during scheduled treatments from in-network providers may not be covered by a patient’s insurance plan. For example, patients receiving...