Last-Minute Loophole Could Undermine Texas Law Against Surprise Medical Bills

The Texas Medical Board, a state agency run by physicians, is among the entities working on rules that underpin the law. The board has proposed broadening an exception to the prohibition on surprise medical bills.

By Ashley LopezNovember 25, 2019 9:43 am, , ,

From KUT:

Texas’ bipartisan effort to shield patients from surprise medical bills could be weaker than lawmakers intended when it takes effect Jan. 1.

Earlier this year, lawmakers from both parties came together on legislation to protect people in state-regulated health plans from getting outrageous bills for out-of-network care. The new law, known as Senate Bill 1264, creates an arbitration process for insurers and providers to negotiate fair prices in those cases. The intention of the law is to establish those fair prices without ever involving patients.

But that protection is at risk of becoming “irrelevant,” consumer advocates in Texas say.

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