Health care has been a hot button issue for years. Ever since the passage of the Affordable Care Act (ACA) — also known as Obamacare — a greater number of doctors have been opting to exit the system altogether, while patients have increasingly run away from insurance providers, opting to join health sharing ministries instead. While many hoped for a reversal of the law once a Republican president took office, any reform could take months and perhaps even years to be completed. Instead of waiting for the federal government to remove hurdles so that the healthcare market can promote competition, thus making care affordable and available to all, some states are acting unilaterally, attempting to pass their own laws nullifying the federal control over the healthcare market.
In early January, Montana’s Sen. Cary Smith, a Republican from Billings, introduced Senate Bill 100. The bill establishes that primary care agreements would not be considered insurance in the state, allowing doctors and patients to set their own agreements and freeing them from meeting onerous demands and regulations.
With this bill, patients would be able to have the care they need without paying through the nose with insurance. Considering monthly premiums have been increasingly dramatically over the past few years due to the burdensome regulations imposed by federal law, this could help countless low-income Montana residents to stay healthy without having to break the bank.
If the bill is signed into law, it would also create a structure that would allow the state government to regulate direct primary care provider agreements.
While this particular move isn’t exactly “freeing,” the first portion of the bill allowing doctors and patients to set up their own agreement could help to undermine federal control over health care law, giving locals a much needed break from costly insurance deals.
Furthermore, this bill would minimize costs for the doctors, since the third party payer would be removed from the equation. Allowing the medical retainer agreement deal to come to fruition would also allow the patient to pay the physician directly for routine exams and care monthly. Through their agreement, exams or treatments would cost nothing extra. Without an insurance company standing between the patient and the doctor, the patient would also have access to better care, since the relationship between the two parties would be more personal. An issue that has been damaging the quality of care across the board.
According to Tenth Amendment’s Mike Maharrey, this solution provides the type of cost control promised by the past administration with the passage of ACA. While the health care law failed to deliver on its promises, Montana residents could finally see the cost control they want if this bill is signed into law.
SB100 is now set to move to the House for consideration, where a committee will have to pass it by a majority vote before the full House can vote on the measure.