Lift ACA ban on physician-owned hospitals; ease DPC; scrap No Surprises arbitration
Mandate would remove ACA restrictions on Medicare reimbursement to physician-owned hospitals, clarify DPC is not insurance for HSA purposes, and replace No Surprises Act dispute resolution with truth-in-advertising.
Mandate
Mandate Ch. 14 (HHS) — Legislative Proposals / ACA private insurance: remove ACA restrictions prohibiting Medicare reimbursement of physician-owned hospitals; clarify DPC fixed fees are not insurance for HSA context; scrap No Surprises Act dispute resolution for truth-in-advertising approach; facilitate shared savings/reference pricing; strengthen hospital price transparency with quality measures.
Undo plan
1) Study physician-owned hospital expansion for access vs self-referral risks before wholesale ACA repeal.
2) Support DPC/HSA clarity that protects patients.
3) Keep No Surprises Act’s balance-billing protections and improve IDR rather than scrap it.
4) Enforce hospital price transparency with quality metrics.
5) Verify: surprise-bill complaints; DPC enrollment; transparency file completeness.