AFFORDABLE HEALTHCARE SCORECARD ALERT – Transparency and Surprise Billing

April 14, 2021

A North Carolina General Assembly proposal (Senate Bill 505) help protect consumers from surprise medical bills by ensuring they are notified if anyone caring for them at an in-network facility is out-of-network.

The Coalition SUPPORTS to this legislation.

Surprise billing is the biggest issue facing healthcare consumers today. 1 in ten Americans have been a victim of a surprise medical bill received from an out-of-network provider. And it drives up costs by roughly $40 billion a year.

Senate Bill 505 helps mitigate this problem though transparency.

Specifically, the bill requires that patients at in-network facilities are notified before a procedure if any provider caring for them is out-of-network. An estimate of the out-of-network costs must also be provided.

In emergencies where notification is not possible, Senate Bill 505 requires notification as quickly as possible.

The transparency provided through Senate Bill 505 will give patients the opportunity to find other, in-network alternatives if a provider on their care team is out-of-network. 

Actions related to this bill will be factored into a member’s Affordable Healthcare Grade at the close of the legislative session.


View Comments on This Article (1)   

Post Your Comment

Please check your e-mail for a link to activate your account.

Featured Articles

AFFORDABLE HEALTHCARE SCORECARD ALERT – Improved Access to Care
A HUGE Day for Pro-Consumer Healthcare Reforms at NCGA
AFFORDABLE HEALTHCARE SCORECARD ALERT – Oral Chemo Drug Mandate
ICYMI: NYT Editorial Slams the kind of Telehealth Mandates Proposed at NCGA
BIG NEWS: Momentum Continues as Second Committee Passes Surprise Billing Protections
BREAKING: Bill to Allow More Affordable Health Insurance Option Clears Key Senate Committees