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On July 1, 2021, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury issued part I of the regulations in connection with federal No Surprises Act that protects patients from surprise medical … [Read more...] about No Surprises Act Regulations Part I Released

Reportedly, the New York Health Act which aims to replace employer-based private health insurance and force all New Yorkers onto a government-run healthcare plan is expected to be introduced by Senator Gustavo Rivera, chairman of the state’s Senate … [Read more...] about NY Lawmakers Reignite Single-Payor Bill

The deep divide between insurers and providers over the best approach to end the practice of surprise billing patients appears to be narrowing, according to coverage by Politico published on Friday as new legislation is expected to be part of the … [Read more...] about Federal Lawmakers Reach a Provider-Friendly Surprise Bill Proposal

President Trump called upon Democrats and Republicans to pass legislation to end surprise medical billing in remarks delivered from the White House earlier this month.  Senators from both sides of the aisle have already been working on legislation … [Read more...] about Federal Surprise Bill Legislation Gains Momentum

Yesterday, NJ legislators passed Bill S-3202, sponsored by Senator Lagana and Senator Gopal, in a unanimous vote.  The bill requires hospitals to provide breast cancer patients with information concerning reconstructive surgery.  It also prohibits … [Read more...] about NJ Senate Passes Bill To Provide Breast Cancer Patients With Information Related To Breast Reconstruction

Yesterday, a letter signed by America's Health Insurance Plans (AHIP) and others asks Congress to take action this year to "pass legislation that will protect patients from surprise medical bills and reign in out-of-control health care cost."  The … [Read more...] about Some of the Nation’s Largest Health Insurers Urge Lawmakers To Pass Federal Surprise Bill Legislation

Today, Kaiser Health News published an insightful article on the Federal Surprise Bills being considered.  Federal legislation is likely to significantly expand patient protection, in states that already have surprise bills enacted, by including … [Read more...] about Protecting Patients From Medical Surprise Bills Is Garnering Momentum By Lawmakers

On January 22, 2019 the NJ Bill S-3203, sponsored by Senator Joseph Lagana and Senator Vin Gopal, requiring hospitals to provide breast cancer patients with information concerning reconstructive surgery was released from committee and will head to … [Read more...] about NJ Bill Prohibits Carriers from Denying Authorization to Out-of-Network Reconstructive Breast Surgeons for Cancer Patients

As part of the agreement, EmblemHealth will provide full restitution to members who paid out-of-pocket for gender reassignment surgical procedures after denial of coverage by EmblemHealth.  For the full article please click here. … [Read more...] about NY Settlement with EmblemHealth Requires Insurance Company to Cover Gender Reassignment Surgery for Members