A BILL FOR AN ACT ENTITLED: “AN ACT ESTABLISHING LIMITS ON HOSPITAL-RELATED CHARGES……
Section 1. Limitation on hospital-related charges — a hospital-related charge for inpatient or outpatient care may not exceed 250% of the reimbursement rate allowed for the same care by the
medicare program established pursuant to Title XVIII of the federal Social Security Act, 42 U.S.C. 1395, et seq.
Meanwhile, across the Fruited Plains, purveyors of Reference Based Pricing continue to pay providers 105-150% of Medicare, resulting in balance billing of less than 2% of claims.