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House approves arbitration change for out‑of‑network claims after debate on surprises and costs
Summary
The House adopted House Bill 11 51, allowing a modified arbitration approach for certain out-of-network emergency claims after a contentious floor exchange about batching claims and cost implications for consumers and insurers.
House Bill 11 51 — a bill addressing arbitration for out‑of‑network health claims in emergency and other situations where patients cannot choose providers — passed on third reading after an intense floor debate.
Opponents argued the proposal would open a loophole to “batch” claims into arbitration, undermining the benchmark protections established in the state’s 2019 no‑surprise billing law (cited in debate as House Bill 19 11 74). They warned that large private‑equity backed provider groups have used arbitration in other jurisdictions to extract higher payments and drive up premiums for consumers. Supporters said the measure would help providers get timely and fair payment for lifesaving care, ease administrative burdens that discourage clinicians from practicing in the state and protect access to emergency services.
Representative Garcia urged rejection, saying the bill would erode premium reductions observed after the 2019 law and could increase costs for families. Representative Stewart, representing sponsors, argued the bill merely helps providers secure appropriate reimbursements and includes accountability measures to limit abuse. The House conducted a recorded vote on final passage; the clerk reported 40 yes, 21 no, and 4 excused, and the Speaker announced adoption.
