The legislation, Senate Bill 507, attempts to combat balance billing practices by expanding mediation protections for consumers. SB 507 will expand mediation protections to consumers with preferred provider organization plans balanced billed by all out-of-network emergency providers and all out-of-network providers at in-network facilities. Free-standing emergency providers are included in the legislation.
The bill adds to current law, which provides mediation for consumers balanced billed only by radiologists, anesthesiologists, pathologists, emergency room physicians, neonatologists and assistant surgeons.
The measure also requires balance bill statements to include a disclosure reading, “This is a balance bill that may be eligible for mediation.”
More articles on healthcare finance:
Texas Children’s records $36.2M operating loss on insurance arm
5 healthcare CFOs in the headlines
Health system CEO pulls out $6M check to pay debts during budget hearing
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.