If you have a news tip send us an email at: tips@oregoncapitalinsider.com


Legislature passes ban on surprise bills by out-of-network doctors

The bill, which bans 'balanced billing' by health care providers, is on its way to Gov. Kate Brown for her signature.

PARIS ACHEN/CAPITAL BUREAU - Gov. Kate Brown, center, holds up an equal pay bill she signed June 1, 2017, in her ceremonial office at the Oregon Capitol in Salem. Left to right, flanking her, are Sen. Tim Knopp, Sen. Kathleen Taylor, Rep. Ann Lininger, and Rep. Jodi Hack.SALEM — A bill to ban so-called "balance billing" by health care providers is on its way to Gov. Kate Brown's desk, after the House of Representatives on Tuesday approved Senate changes to the legislation 47 to 10.

Balance billing refers to when a patient seeks care at a hospital or clinic that may be in network under their insurance plan but the individual provider who cares for the patient does not participate in the network. Months later, the patient receives a bill typically significantly larger than what they were expecting.

The passage of the bill is a victory for consumers, said Jesse Ellis O'Brien of the Oregon State Public Interest Research Group.

The legislation is "an urgently needed measure to protect Oregon consumers from large surprise medical bills," O'Brien wrote in a statement Tuesday.

The ban takes effect March 1, 2018, and still needs rules by the Oregon Department of Consumer and Business Services and legislation during state lawmakers' February short session to be enforced. A work group will develop an out-of-network provider reimbursement framework between now and the end of the year, said Patrick Allen, DCBS director.

The bill was amended in the Senate to reflect a compromise between health care providers and consumer advocates. Allen noted last month that the deal is "a little bit of kicking the can down the road, but it also gets the ban on balanced billing locked in place."

Consumer advocates said they are concerned that the reimbursement framework was excluded from the bill.

"If the reimbursement rate is too high, it will raise costs for consumers; if it's too low, it could cause access problems. I think there is a reasonable range in the middle, but it will be important to get it right," O'Brien said.

Balance billing often occurs when patients are unaware that a provider is out of network.

During hearings on the bill last month, Stayton resident Steve Poisson told lawmakers that a couple of years ago, he visited a walk-in clinic for a suspected case of the flu.

"After being examined and having some tests run, I was immediately admitted to the ICU with a diagnosis of heart failure," he wrote in testimony. "It wasn't until several months after my discharge that I received a bill from the hospitalist physician because he was not an 'approved provider' under my plan, which covered all other services rendered while in the hospital."

Poisson said the practice of balanced billing should be banned "because in a situation such as mine there was no way for me to know the 'approved' status of the provider nor make any choice as to who my provider was."

Once the ban takes effect March 1, O'Brien noted that people such as Poisson will only receive a bill for the in-network rate.

"What remains unresolved is exactly how his insurance company and the provider will work it out on the back end," O'Brien said.


Paris Achen
Portland Tribune Capital Bureau
503-385-4899
email: pachen@portlandtribune.com
Follow us on Twitter
Visit Us on Facebook

Access your account

Subscriber Login

cialiscialis couponcialis genericcialis dosagegeneric cialiscialis costcialis vs viagracialis pricescialis side effectscialis couponscialis 30 day sampleviagra vs cialiscialis onlinecialis pillscialis samplesbuy cialiscialis 20 mgcialis patent expirationcialis coupons printablecialis for daily usecialis samples overnightcheap cialiscost of cialis200 cialis couponcialis dailycialis 20mggeneric cialis at walmartcealiscialis canadacialis trialhow does cialis workwhen will cialis go genericcialis on lineside effects of cialiscialis 30 day trial couponcialis 5mgcialis for mencialasbuy cialis onlinecialis for salecialis patent expiration date extendedhow to take cialiscialis pricecialis from canadahow much does cialis costfree cialisviagra vs cialis vs levitracialis reviewscialis coupons from manufacturerwhat is cialiscialis pills for salecialis patent expiration 2017canadian cialiscialis tadalafilcialis or viagrageneric for cialiscialis professionalcialis free trialcialis medicationciliascialis for bphcialis coupons 2017cyaliscialis dosage strengthscialis discountgeneric cialis tadalafildiscount cialiscialis dosage recommendationscialis 5 mgonline cialiscialis canadian pharmacycialis copay cardlowest cialis pricescialis for womencialis generic availabilitycialis vouchercialis savings cardcialis 10 mgcialis websitecialis generic tadalafilliquid cialisdaily cialisviagra cialiscialis otcerectile dysfunction cialiscialis 5mg dailycanada cialiscialis coupon 20 mgcialis pricingcialis coupon printviamedic cialiscialis cheapcialis pharmacy pricescialis 20mg directionsprice cialiscialis samplewholesale cialiscialis alternativecialis effectscialis testimonialslevitralevitra couponlevitra 20 mglevitra 20mgbuy levitralevitra priceslevitra genericlevitra onlinelevitra vs viagrageneric levitralevitra couponslevitra rezeptfrei deutschlandlevitra 10 mg prezzocheap levitra9 levitra at walmartlevitra erfahrungenlevitra dosageviagra vs cialis vs levitrageneric levitra vardenafil 20mgwhat works better than viagrabuy levitra onlinelevitra without a doctor prescriptionbuy generic levitralevitra 20mg cost per pillvardenafil 20mglevitra prezzo in farmacialevitra 20 mg precio farmaciavardenafil vs viagralevitra 20 mg cost walmartlevitra vs viagra for hardnesslevitra bayer 20mg meilleur prixlevitra 20 mg von bayerviagrageneric viagraviagra genericviagra couponsviagra without a doctor prescriptionviagra onlineequipe argentine viagraviagra pricesbuy viagracialis vs viagracheap viagraviagra pillsviagra samplesviagra side effectswhat is viagraviagra couponviagra naturalviagra dosageviagra for sale uknatural viagrabuy viagra onlinegeneric viagra 100mgfemale viagrahow does viagra workhow to use viagraviagra activateherbal viagraviagra tabletssophia viagraviagra sans ordonnanceviagra kaufenviagra tabletviagra vs cialisonline viagracanadian viagraviagra for womenviagra ohne rezept aus deutschlandpfizer viagraviagra 100mgviagra costfree viagraviagra alternativesviagra canadaviagra on lineviagra single packsviagra for menviagra pillviagra 100mg tablets retail priceorder viagraviagra tescoside effects of viagraviagra pillen kruidvatviagra for salediscount viagrawhat does viagra doviagra costsviagra uklevitra vs viagrawhere to buy viagraviagra substitutehow long does viagra lastviagra alternativeviagra receptfrittviagra priceviagra 100viagra en ligne livraison 24hviagra on line no precviagra 100 mgutilisation viagrabest price viagracost of viagraviagra sexviagra wikipediasex viagra for womenviagra nebenwirkungenrevatio vs viagraviagra without a doctor prescription usaviagra genericoviagra 50mgviagra from canadaover the counter viagraviagra effectsviagra medicinepfizer viagra coupons from pfizerbuy generic viagraviagra wikiviagra bestellenviagra ohne rezept auf rechnungcanada viagrawomen viagrabuying viagraviagra soft