On September 18, 2019 the Congressional Budget Office (CBO) released its cost estimate of H.R. 2328, the Reauthorizing and Extending America’s Community Health Act, which was ordered reported by the House Committee on Energy and Commerce on July 17, 2019.1 Title IV of H.R. 2328, the No Surprises Act, would set rates for “surprise” bills from hospital-related providers – such as anesthesiologists, radiologists, pathologists, or emergency physicians – who do not participate in patients’ networks despite the hospital’s in-network status. CBO estimates that the provisions to address surprise billing in H.R. 2328 would save about $21.9 billion over 10 years.
Earlier this summer, CBO also estimated the savings from S.1895, the Senate HELP Committee’s surprise billing proposal.2 Like the House proposal, the Senate bill would set rates for out-of-network surprise bills at the median in-network rate (a so-called benchmark approach). The Senate bill would save $24.9 billion over the same 10-year period.
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