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    July 16, 2019  

    The Honorable Frank Pallone, Jr. 
    Committee on Energy and Commerce 
    2125 Rayburn House Office Building 
    Washington, DC 20515 

    The Honorable Greg Walden
    Ranking Member
    Committee on Energy and Commerce
    2322A Rayburn House Office Building
    Washington, DC 20515

    Dear Chairman Pallone and Ranking Member Walden:

    The undersigned organizations believe a fair and equitable independent dispute resolution (IDR) process is an essential component of any surprise billing solution and should be included in any final bill coming out of the House Energy and Commerce Committee to ensure the legislation is balanced and does not result either in unfair payments to physicians or unreasonable bills to health plans. We fully support the central goal of the No Surprises Act to protect patients from surprise medical bills when they unknowingly receive services from out-of-network providers in in-network facilities. We also support the provisions in the No Surprises Act that would ensure patients are only responsible for in-network cost-sharing in these situations, and that their cost-sharing count toward in-network deductibles and out-of-pocket maximums. We also agree that patients should be taken out of any payment disputes between physicians and insurers that arise from these situations.

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