Stop Michigan HB 4459/4460 & SB 570-573

Stop Michigan HB 4459/4460 & SB 570-573

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Eric Larson started this petition to Michigan State Legislators

As citizens of Michigan, our number one priority is the health of patients. Unfortunately, there are times when patients are hit with surprise bills because their provider was "out-of-network." While health care isn't free, patients shouldn't be held accountable for these unexpected bills when another option isn't available.

Essentially, patients are being penalized for seeking necessary health care treatment and that is not acceptable.

While Congress is considering its own proposals, several states have already stepped up to address this, and many have implemented a comprehensive, balanced approach that we should look to for potential models. Unfortunately, the legislation introduced in Lansing - House Bills 4459 & 4460 and Senate Bills 570 & 572 - as proposed, would codify a payment standard. This amounts to price fixing and not only sets a concerning precedent but could dramatically disrupt the physician-payer contracting landscape leading to access issues for patients, particularly for on-call physicians and sub-specialty care.

Bottom line, it is a simplistic answer to a complex question that could create a whole new set of issues.

According to the 2019 American Medical Association analysis of insurance market concentration, Michigan has the number #6 least competitive insurance market in the nation. This legislation would only serve to widen the existing gap between insurance company and physician negotiating power in our state. This should concern lawmakers for multiple reasons not least of which is the potential for insurers to drop physicians from networks if the statutory out-of-network rate is more attractive than the contracted rate. Michigan generally has robust networks with fewer out-of-network cases relative to other states but the solution that has been proposed could paradoxically create more instances of patients finding themselves out-of-network.

The comprehensive, balanced approach we seek holds patients harmless from anything beyond their-in-network cost-sharing but allows insurers and providers to negotiate in good faith with an independent dispute resolution process in place for the rare instances negotiations break down. This is an independent, fair process for both sides and it is proving that it is working in states where it has been implemented -- why reinvent the wheel?

0 have signed. Let’s get to 2,500!
At 2,500 signatures, this petition is more likely to get picked up by local news!