Surprise Billing

Patients with health insurance should never be surprised by unexpected out-of-pocket costs.  During the 2019 legislative session, THA worked with state lawmakers to pass model legislation that protects patients from surprise medical bills and private negotiations between hospitals and health plans. As Congress pursues a legislative solution to surprise billing, Texas hospitals urge lawmakers to be aware of unintended consequences and protect private negotiation and limit government interference in the market.

Texas hospitals support: 1) protecting patients from surprise bills and 2) maintaining mediation as the process by which facilities and plans come to a mutually acceptable payment amount, without the interference of government rate setters.

Read the Ted Shaw Blog to learn why benchmark rates and network matching will not work for Texas hospitals.

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According to Texas Government Code 305.027, portions of this material may be considered “legislative advertising.” Authorization for its publication is made by John Hawkins, Texas Hospital Association, 1108 Lavaca, Suite 700, Austin, TX 78701-2180.