IDR Emergency Charges (A.7611-A/S.4241-A)
MEMORANDUM IN SUPPORT
Unshackle Upstate, a non-partisan, pro-taxpayer, pro-economic growth, education and advocacy coalition made up of business and trade organizations from all parts of Upstate New York, supports this legislation.
In 2014, legislation was enacted requiring out-of-network provider bills emergency services (and some additional “surprise bills”) to an Independent Dispute Resolution (IDR) process which would protect consumers from balance billing and take them “out of the middle” of provider and health plan reimbursement disputes.
The new law, however, only applied to physician emergency service charges and not out-of-network hospital emergency charges. This legislation would subject excessive hospital charges to the same IDR process, which has both reduced health care costs for employers and their employees. The enactment of this legislation would further protect patients and consumers from “surprise medical bills” by utilizing the IDR process for both physician and hospital emergency charges.
Unshackle Upstate has consistently been a leader in fighting for the state’s taxpayers and employers. With the rising cost of private health insurance as one of the major issues of concern for our members and their employees, we continue to explore opportunities to help keep health insurance affordable in New York State.
For these reasons, Unshackle Upstate supports the enactment of this legislation.