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- Oklahoma blocks out-of-network bill
Oklahoma pathologists and the CAP successfully blocked legislation that would have set an unfavorable benchmark for out-of-network reimbursements.
Why it matters: Senate Bill 1047 would undermine the federal No Surprises Act, adversely impacting physicians and patients.
- The No Surprises Act, signed into law by President Trump in 2020, protects patients from medical bills for out-of-network services.
- Senate Bill 1047 favored health insurance payers by tying out-of-network payment to the in-network pay rates of health plans—an approach rejected in federal law.
Driving the news: The CAP, alongside the Oklahoma State Association of Pathologists, led a coalition of state chapters of anesthesiologists, radiologists, and emergency physicians to oppose the bill.
- Despite the bill passing unanimously out of committee, the coalition deterred it from going forward.
What's next: The CAP will continue to oppose tying out-of-network reimbursement to rates controlled by the health insurance industry, which is detrimental to physicians and patients.