Back to archive page
CHA News

Draft Federal Legislation Addresses Surprise Billing

For CEOs, Government Relations Staff

The Chair and Ranking Member of the House Energy and Commerce Committee, Reps. Pallone (D-NJ) and Walden (R-OR), released draft legislation to address the issue of surprise billing and asked stakeholders to submit comments by May 28. CHA sent a letter to the California congressional delegation outlining our priorities.

The measure would establish a payment standard for out-of-network care using the median contracted rate for an area and would permit states to set their own payment standards for state-regulated plans. 

A summary of the bill is also available.  

On the Senate side, Sens. Cassidy (R-LA) and Hassan (D-NH) introduced their long-awaited legislation, which also uses the median contracted rate for payment but allows for “baseball-style” arbitration to settle disputes between providers and insurers. 

CHA is reviewing these measures and will submit comments. The House Ways and Means Committee has scheduled a hearing on the issue for Tuesday. The committee’s bipartisan leadership is expected to introduce their own legislation, as is the leadership of the Senate Health, Education, Labor and Pensions Committee.