State Efforts

State Efforts

States have long led the way when it comes to addressing surprise medical bills. Currently, more than half of states have adopted laws to prohibit or limit surprise medical bills. While most states have taken steps to protect patients, states alone cannot protect everyone. Federal protections are thus critical. Learn more about recent federal legislation to address surprise medical bills here.

Commonwealth Fund legislation tracking map

See where your state falls. To date, more than half of all states have some protections in place to protect patients from surprise medical bills. But these state laws vary dramatically. Some states have comprehensive protections while others have far more limited protections. CHIR created an interactive map for The Commonwealth Fund. Click here to learn more about how your state addresses surprise medical bills.

US Capitol

Preemption of state laws. In enacting the No Surprises Act, Congress recognized that many states already passed (or will pass) state-level protections against surprise medical bills. Congress thus deferred to some state laws and limited the degree to which the No Surprises Act preempts state laws. This new fact sheet from CHIR experts summarizes our current understanding of this preemption framework and highlights considerations for policymakers.

Meeting at a table

Considerations for policymakers. Not all state laws are created equal when it comes to protecting patients from surprise medical bills. State laws can vary in significant ways by, for instance, only applying to emergency situations or to certain types of health insurance plans–or by including a payment standard or independent dispute resolution. Learn about these and other key issues, including how state laws interact with the No Surprises Act, that state policymakers should consider when developing surprise medical bill laws.

Meeting at a table

Support for state policymakers. Our experts are here to help state policymakers understand and address surprise medical bills. We work closely with state leaders to provide legal and policy technical assistance and help identify solutions that meet each state’s unique needs.  Learn more about how we can help support your policy goals.