The New Jersey state legislature is, once again, considering legislation to address “surprise billing” of patients who received out of network services at in network facilities. NJ-ACEP continues to actively oppose the out of network reform legislation that would significantly impact emergency physicians imposing mandatory arbitration and unreasonably low fee schedules for emergency services provided by out of network physicians at in network facilities. NJ-ACEP is part of a coalition of providers that favors disclosure and transparency from hospitals, physicians and payers to help eliminate the “surprise” of an out of network bill. But the coalition strongly opposes the efforts of the sponsors and the insurance industry to impose fee schedules on out of network physicians, eliminating the ability to negotiate out of network charges or even in network contracts with insurers. Furthermore, the proposed fee schedule sets the rate paid at 100-250% of the Medicare reimbursement rate.