Urge the NC Senate to defer consideration of state level, out of network (OON) billing legislation (SB 415).
Currently, the NC General Assembly is considering SB 415; however, the new federal legislation, known as the No Surprises Act (signed 12/27/20), provides appropriate OON protections for consumers and goes into effect 1/1/22.
- SB 415 is a “benchmarking to Medicare” bill and it would establish, as a matter of state law, the reimbursement rate that physicians receive for services provided that are out of network (OON).
- The No Surprises Act provides comprehensive protection to consumers from surprise medical bills or OON billing, avoids “benchmarking” or rate setting, and provides a means for clinicians to engage in dispute resolution with health plans over reimbursement rates.
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