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Law Practice

Dec. 5, 2008

State Court Rules Against ER Doctors

State officials who regulate the HMO industry do have the power to ban doctors from billing patients directly even when insurers don't pay up, a Sacramento Superior Court judge ruled on Wednesday.

By Evan George
Daily Journal Staff Writer

State officials who regulate the HMO industry do have the power to ban doctors from billing patients directly even when insurers don't pay up, a Sacramento Superior Court judge ruled on Wednesday.

The ruling affirms a contested regulation, which took effect in October, banning the controversial practice of so-called "balance billing." Medical groups sued to overturn the ban, saying it would hurt providers ...

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