State and Federal Resources to Address Surprise Medical Balance Billing

Surprise medical balance bills – charges for unexpected, out-of-network medical care – affect thousands of consumers each year. These bills can leave consumers stuck with hundreds, if not thousands, of dollars in unexpected medical expenses.

States are taking the lead in cracking down on surprise balance bills, passing consumer protection laws that range from strict requirements for network service disclosures to outright bans on balance billing in certain circumstances. These resources highlight state and recent federal initiatives to address surprise medical balance billing:


  • NASHP Blog and Chart: More States Implement Surprise Medical Billing Protections, June 18, 2019. Four new states have enact multi-pronged policies to prohibit balance bills, institute a process for providers and carriers to resolve billing disputes, and foster pricing transparency to avoid surprise bills. A chart shows these legislative highlights.