Please ensure Javascript is enabled for purposes of website accessibility
Sticker Shock: Trump Takes Aim at 'Surprise Medical Bills'
gvw_ap_news
By Associated Press
Published 6 years ago on
May 9, 2019

Share

WASHINGTON — President Donald Trump will begin a push Thursday to fight health care sticker shock by limiting “surprise medical bills,” the unexpected charges faced by insured patients when a member of a health care team that treated them is not in their insurer’s network.

“Surprise” bills amounting to tens of thousands of dollars can hit patients and their families when they are most vulnerable — after a medical emergency or following a complex surgical procedure.

Senior administration officials told The Associated Press the Republican president will outline principles he can support as part of legislation to limit such billing practices. Republican and Democratic lawmakers have been trying to make progress on the topic for months, and White House support improves chances that something will get done.

Patients being treated for medical emergencies often are in no position to check into whether their insurers have contracted with their surgeons or anesthesiologists to provide medical care. Trump wants to make it clear that patients who receive emergency care should not be hit with charges that exceed the amount paid to in-network providers.

“Surprise” bills amounting to tens of thousands of dollars can hit patients and their families when they are most vulnerable — after a medical emergency or following a complex surgical procedure. Often patients are able to negotiate lower charges by working with their insurers and the medical provider. But the process usually takes months, adding stress and anxiety.

The officials said the legislation also should protect patients seeking elective care by ensuring that they are fully informed before scheduling their care about which providers will be considered out of network and what extra costs that will generate.

Patients Usually Pay a Bigger Share of the Bill

The officials spoke on the condition of anonymity because they were not authorized to speak publicly on the matter before Trump’s announcement. The White House effort is part of a broader push by the Trump administration to increase transparency in the health care system. On Wednesday, the administration finalized regulations requiring drug companies to disclose list prices of medications costing more than $35 for a month’s supply.

The president also will make the case that legislation should not lead to additional costs for taxpayers.

Insurers form networks of doctors and hospitals, in part, to gain some leverage for negotiating reimbursements. Usually patients pay a bigger share of the bill for any care sought outside those networks.

A major hang-up has been agreeing on payment rates for out-of-network services that are mutually acceptable to medical specialists, hospitals and insurers, who have conflicting interests.

But sometimes, patients don’t know they got care outside of their network until they get their bill.

A House panel held a hearing on surprise medical bills last month. Trump also participated in a January meeting with health care advocates and victims of surprise billing. The officials said Trump made clear following the meeting that he wanted his administration to work on finding a fix.

States also have been working to protect consumers from surprise medical bills. A survey of states by Georgetown University found that about half the states have acted to protect consumers, but some, such as California, Connecticut, Florida and a handful of others, have the most comprehensive protections. But states don’t have jurisdiction over most health plans sponsored by large employers, which cover about 100 million people and operate under the umbrella of a federal law.

Associated Press writer Ricardo Alonso-Zaldivar contributed to this story from Washington.

DON'T MISS

Baseball’s Newest Hall of Famers: Suzuki, Sabathia, Wagner

DON'T MISS

‘Once in a Lifetime’ Snow Hits Parts of the US South

DON'T MISS

Trump Temporarily Halts Leasing and Permitting for Wind Energy Projects

DON'T MISS

Fresno Man Who Dealt Deadly Fentanyl Pill Gets 80-Month Prison Term

DON'T MISS

What’s Next for EVs as Trump Moves to Revoke Biden-Era Incentives?

DON'T MISS

US Throws out Policies Limiting Arrests of Migrants at Sensitive Locations like Schools, Churches

DON'T MISS

Visalia Police Find Man Shot Near Shopping Center. Tips Sought.

DON'T MISS

Convicted Jan. 6 Rioter Benjamin Martin Still Going to Prison

DON'T MISS

Is Lawsuit on Planned Reedley Job Center a ‘Shakedown’?

DON'T MISS

Much of the Damage from the LA Fires Could Have Been Averted

UP NEXT

Musk’s Straight-Arm Gesture Embraced by Right-Wing Extremists

UP NEXT

Trump’s Executive Orders: Reversing Biden’s Policies

UP NEXT

Trump Returns to Power After Unprecedented Comeback, Emboldened to Reshape US

UP NEXT

Trump to Release Records on the Assassinations of the Kennedys and Martin Luther King

UP NEXT

Walmart Breaks into Luxury Resale Market, Will Offer Chanel, Fendi, Prada, Other Brands

UP NEXT

The Big Chill: Siberian Air to Make Trump Swearing-in Coldest in 40 Years

UP NEXT

Proposed Rules Would Require Nutrition Info, Allergen Warnings on Alcohol Labels

UP NEXT

South African Police End Mine Rescue Operation With at Least 78 Dead and 246 Survivors

UP NEXT

Google Signs Deal With AP to Deliver Up-to-Date News Through Its Gemini AI Chatbot

UP NEXT

Jeffrey Epstein’s Estate Got a $112 Million Tax Refund

Fresno Man Who Dealt Deadly Fentanyl Pill Gets 80-Month Prison Term

55 minutes ago

What’s Next for EVs as Trump Moves to Revoke Biden-Era Incentives?

1 hour ago

US Throws out Policies Limiting Arrests of Migrants at Sensitive Locations like Schools, Churches

1 hour ago

Visalia Police Find Man Shot Near Shopping Center. Tips Sought.

2 hours ago

Convicted Jan. 6 Rioter Benjamin Martin Still Going to Prison

2 hours ago

Is Lawsuit on Planned Reedley Job Center a ‘Shakedown’?

2 hours ago

Much of the Damage from the LA Fires Could Have Been Averted

4 hours ago

CA Sued the Tar Out of Trump the First Time Around. How Did It Do?

4 hours ago

Israel’s Top General Resigns over Oct. 7 Failures, Adding to Pressure on Netanyahu

5 hours ago

Musk’s Straight-Arm Gesture Embraced by Right-Wing Extremists

5 hours ago

Baseball’s Newest Hall of Famers: Suzuki, Sabathia, Wagner

NEW YORK — Ichiro Suzuki became the first Japanese player chosen for baseball’s Hall of Fame, falling one vote shy of unanimous when he was ...

10 minutes ago

Ichiro Suzuki in Yankee Pinstripes
10 minutes ago

Baseball’s Newest Hall of Famers: Suzuki, Sabathia, Wagner

People walk past the 1900 Storm memorial sculpture on Seawall Blvd. during an icy winter storm on Tuesday, Jan. 21, 2025 in Galveston, Texas. (Brett Coomer/Houston Chronicle via AP)
26 minutes ago

‘Once in a Lifetime’ Snow Hits Parts of the US South

The five turbines of Block Island Wind Farm operate, Dec. 7, 2023, off the coast of Block Island, R.I., during a tour organized by Orsted. (AP File)
55 minutes ago

Trump Temporarily Halts Leasing and Permitting for Wind Energy Projects

Photo of Mexican Oxy, fentanyl laced blue pills
55 minutes ago

Fresno Man Who Dealt Deadly Fentanyl Pill Gets 80-Month Prison Term

President Donald Trump talks about the Endurance all-electric pickup truck, made in Lordstown, Ohio, at the White House, Sept. 28, 2020, in Washington. (AP File)
1 hour ago

What’s Next for EVs as Trump Moves to Revoke Biden-Era Incentives?

A Border Patrol truck rides along the border wall in Sunland Park, N.M., Tuesday, Jan. 21, 2025. (AP/Andres Leighton)
1 hour ago

US Throws out Policies Limiting Arrests of Migrants at Sensitive Locations like Schools, Churches

Police are investigating after a man was found shot near a Visalia shopping center and transported to Kaweah Health.
2 hours ago

Visalia Police Find Man Shot Near Shopping Center. Tips Sought.

2 hours ago

Convicted Jan. 6 Rioter Benjamin Martin Still Going to Prison

Help continue the work that gets you the news that matters most.

Search

Send this to a friend