Medical bill Twenty-one states have already put in place patient protections via law or regulations, with just six having what think-tank the Commonwealth Fund terms comprehensive protections. (Photo: Shutterstock)

Rhode Island may be taking on the nasty surprise of balance billing on behalf of residents, with legislation under consideration in the Senate that would limit what a patient has to pay out of pocket for an emergency department visit or other needed treatment. The provider would have to bill the insurer using a reimbursement rate calculated by the state's insurance commissioner.

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