24 Groups Oppose Rate-Setting in Coronavirus Package

The Honorable Nancy Pelosi
Speaker of the House
United States House of Representatives
Washington, D.C. 20515
The Honorable Mitch McConnell
Majority Leader
United States Senate
Washington, D.C. 20510
The Honorable Kevin McCarthy
Minority Leader
United States House of Representatives
Washington, D.C. 20515
The Honorable Charles E. Schumer
Minority Leader
United States Senate
Washington, D.C. 20510

Dear Senate Majority Leader McConnell, Minority Leader Schumer, House Speaker Pelosi, and Minority Leader McCarthy:

As you debate and consider a legislative response for those affected by COVID-19, the undersigned groups representing millions of taxpayers and consumers urge you to reject any attempt to include any language that would seek to address surprise medical billing by creating a government-mandated benchmark (i.e. rate-setting) to determine out-of-network rates for physicians. Government price controls for medical bills would be particularly devastating at a time of great stress for our nation’s patients and healthcare providers.

Doctors and hospitals are on the front line of treating and fighting this disease. Mandating in-network rates would result in direct government price controls that would artificially suppress rates for providers offering out-of-network care, resulting in enormous financial losses that would be shifted to local hospitals and emergency rooms. 

Many of these facilities — particularly the ones serving rural, hard-to-reach communities across the nation — are already operating under razor-thin profit margins, if they are even profitable at all. Further compounding their financial woes could exacerbate a growing doctor shortage and lead to an increase in rural provider consolidation or even closure. The net result of any of these outcomes would be fewer options and higher costs for already at-risk patients. 

Lawmakers in California enacted a flawed approach called “benchmarking” in 2017 and patients across the state are suffering from the consequences. Benchmarking at the federal level would give the government authority to set arbitrarily low rates for physicians providing out-of-network care by tying payments to insurers’ deeply discounted in-network averages. This harmful rate-setting approach is included in legislation advanced by the Senate Health, Education, Labor & Pensions Committee, the House Energy & Commerce Committee, and the House Education & Labor Committee.

It is critical that at a time of a national emergency you focus on the needs of the country and not use the pandemic as an opportunity to enact government rate-setting that would harm our patients and our healthcare system.


David Williams
Taxpayers Protection Alliance
David McIntosh
Club for Growth
Grover Norquist
Americans for Tax Reform
Brent Wm. Gardner
Chief Government Affairs Officer 
Americans for Prosperity
Jessica Anderson
Vice President
Heritage Action
Jason Pye 
Vice President of Legislative Affairs
Thomas Schatz
Council for Citizens Against Government Waste 
Brandon Arnold
Executive Vice President
National Taxpayers Union
Christopher Sheeron
Action for Health 
Mario H. Lopez
Hispanic Leadership Fund
Rick Manning
Americans for Limited Government
Jeff Mazzella 
Center for Individual Freedom
Norm Singleton
Campaign 4 Liberty
Wayne Hoffman
Idaho Freedom Foundation
Ryan Ellis
Center for a Free Economy 
Andrew Langer
Institute For Liberty
Brian Garst
Vice President 
Center for Freedom and Prosperity
Josh Crawford
Interim Executive Director 
Pegasus Institute
Charles Sauer
Market Institute
Mike Stenhouse
Rhode Island Center for Freedom & Prosperity 
Jon Pritchett
Mississippi Center for Public Policy
Paul Gessing
Rio Grande Foundation

Seton Motley 
Less Government 
James L. Martin, Founder (Chairman)
Saulius “Saul” Anuzis (President) 
60 Plus Association 

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