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State Legislators Propose 'Free Market Solution' to Surprise Medical Bills

a photo of state legislators
KAREN KASLER
/
STATEHOUSE NEWS BUREAU
Rep. Adam Holmes (R-Nashport, center) talks about his "surprise billing" bill along with Reps. Jim Butler (R-Oakwood. left), Jay Edwards (R-Nelsonville) and Sara Carruthers (R-Hamilton).

Several Ohio House Republicans are backing a bill that they say is a ”free market solution” to surprise medical billing, when patients get unexpected big invoices from out of network providers after visiting an in-network hospital or health care facility. 

“Surprise medical bills are the number one cause of bankruptcy in Ohio," Rep. Adam Holmes (R-Nashport) says.

Holmes says this doesn’t regulate billing, but creates options for out-of-network providers, such as anesthesiologists or ER doctors to choose to be paid the in-network rate, to negotiate a different rate or go to a third party for “baseball style” arbitration with the insurer. But he says the patient is protected.

“No fault for patients," he says. "That’s the number one thing that we’re going to get out of this and end the surprise bills.”

Holmes says he’s willing to take this idea to Ohio Gov. Mike DeWine, who had vetoed a surprise billing provision in the state budget, saying it could duplicate federal efforts on that issue. 

Karen is a lifelong Ohioan who has served as news director at WCBE-FM, assignment editor/overnight anchor at WBNS-TV, and afternoon drive anchor/assignment editor in WTAM-AM in Cleveland. In addition to her daily reporting for Ohio’s public radio stations, she’s reported for NPR, the BBC, ABC Radio News and other news outlets. She hosts and produces the Statehouse News Bureau’s weekly TV show “The State of Ohio”, which airs on PBS stations statewide. She’s also a frequent guest on WOSU TV’s “Columbus on the Record”, a regular panelist on “The Sound of Ideas” on ideastream in Cleveland, appeared on the inaugural edition of “Face the State” on WBNS-TV and occasionally reports for “PBS Newshour”. She’s often called to moderate debates, including the Columbus Metropolitan Club’s Issue 3/legal marijuana debate and its pre-primary mayoral debate, and the City Club of Cleveland’s US Senate debate in 2012.