Tag: Senator Michael Bennet (D-CO)

Senators Release Draft Balance Billing Legislation

On Tuesday, September 18, 2018 Senators Bill Cassidy, M.D. (R-LA), Michael Bennet (D-CO), Chuck Grassley (R-IA), Tom Carper (D-DE), Todd Young (R-IN), and Claire McCaskill (D-MO) released draft legislation that aims to protect patients from surprise medical bills. The discussion draft (view the entire draft) of this proposed legislation tackles three main aspects of balanced billing:

  • Emergency services provided by an out-of-network provider in an out-of-network facility
  • Non-Emergency services following an emergency service from an out-of-network facility
  • Non-Emergency services performed by an out-of-network provider at an in-network facility

The discussion draft outlines legislation that would prevent balanced billing of patients for emergency medical services and instead require insurers to pay the difference between out-of-network and in-network costs. This discussion draft was likely fueled, in part, by some recent headlines highlighting extremely high bills received by patients. In his press release, Senator Cassidy references two stories in particular, one of a patient who received a bill of nearly $109,000 for care after a heart attack, and another of a patient who received a bill for $17,850 for a urine test.

The AAA knows that balanced billing is a major issue for our members and will be monitoring this legislation closely. The AAA and member representatives worked with Senator Cassidy on the initial language as it pertained to ground ambulance service providers and suppliers. Our initial analysis of the most recent draft legislation indicates that the language would not apply to ground ambulance service suppliers but there is ambiguity as to whether it could apply to hospital-based providers. The AAA will continue to engage with Senator Cassidy on ground ambulance issues related to the discussion draft. At this point no AAA member action is needed, and we will keep our members informed of any potential issues.

Ambulance services provide an essential, on-demand healthcare benefit to their communities. Unfortunately, our current healthcare payment structure means that much of this care is not compensated equitably, resulting in the necessity of balance billing patients.

POTUS Signs DEA Standing Orders Bill into Law

On Friday, President Trump signed H.R. 304, the Protecting Patient Access to Emergency Medications Act of 2017, into law. H.R. 304 also known as the DEA Standing Orders Bill is an issue that the AAA has been working on closely for over a year. This new law will “improve the Drug Enforcement Administration (DEA) registration process for emergency medical services (EMS) agencies, and clarify that EMS professionals are permitted to administer controlled substances pursuant to standing or verbal orders when certain conditions are met.”

On the passage of H.R. 304, AAA President Mark Postma stated: “the enactment of H.R. 304 ensures that paramedics, EMTs and other emergency medical professionals may continue to administer vital and often life-saving medications to patients. The AAA applauds Congressmen Hudson and Butterfield and Senators Cassidy and Bennet for their successful efforts on this critical issue.”

Special thanks to Rep. Hudson (R-NC-08) for authoring the Bill, and to Rep. Butterfield (D-NC-01), Sen. Bill Cassidy (R-LA) and Sen. Michael Bennet (D-CO) for sponsoring this legislation. Additional thanks to Chairman Greg Walden (R-OR-2) for his continued support. H.R. 304 will help to ensure that ambulance service providers are able to continue providing life saving services throughout the country. The AAA would like to thank NAEMSP for spearheading this effort as well as NAEMT, ACEP, ENA, IAFF, and the IAFC for their hard work and dedication to this issue.

View the full Energy & Commerce press release. Rep. Hudson’s statement on the Bill.