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Illustration: Aïda Amer/Axios

Congress says it's trying again to pass legislation protecting patients from surprise medical bills, but it doesn't appear to have resolved any of the fights that derailed the effort late last year.

The big picture: Surprise billing is the unique issue that splits lawmakers not by party, but by which industry group — insurers or providers — they sympathize with more. And both industries are fighting hard for their favored solution.

Driving the news: Two House committees released new surprise billing proposals on Friday, confirming that while everyone wants to prohibit surprise bills, there's still no agreement on how to resolve payment disputes between insurers and providers.

  • The Ways and Means Committee proposal includes a mediation process for when insurers and out-of-network providers can't agree on a payment rate, while the Energy and Commerce Committee's proposal from last year would decide payment rates using a blend of both arbitration and a benchmark.
  • The Education and Labor Committee's proposal — also released Friday — is similar to the Energy and Commerce plan.

What they're saying: The industry responded predictably to Friday's news.

  • The Coalition Against Surprise Medical Billing, a group representing employers, insurers and unions, blasted the two new proposals, while the Federation of American Hospitals released a statement in support of the Ways and Means plan.
  • The groups' positions on the Energy and Commerce plan are reversed.

The bottom line: Lawmakers are faced with the same hard decisions that they punted in December, and industry groups aren't giving any indication that they'll make things any easier for members.

Go deeper: Surprise medical bills inflate everyone's health insurance premiums

Editor’s note: This piece was corrected to give more details and more accurately characterize the Energy and Commerce Committee's proposal.

Go deeper

Biden's Day 1 challenges: Systemic racism

Photo illustration: Sarah Grillo/Axios. Photo: Kirsty O'Connor (PA Images)/Getty Images

Advocates are pushing President-elect Biden to tackle systemic racism with a Day 1 agenda that includes ending the detention of migrant children and expanding DACA, announcing a Justice Department investigation of rogue police departments and returning some public lands to Indigenous tribes.

Why it matters: Biden has said the fight against systemic racism will be one of the top goals of his presidency — but the expectations may be so high that he won't be able to meet them.

Caitlin Owens, author of Vitals
2 hours ago - Health

Most Americans are still vulnerable to the coronavirus

Adapted from Bajema, et al., 2020, "Estimated SARS-CoV-2 Seroprevalence in the US as of September 2020"; Cartogram: Andrew Witherspoon/Axios

As of September, the vast majority of Americans did not have coronavirus antibodies, according to a new study published in JAMA Internal Medicine.

Why it matters: As the coronavirus spreads rapidly throughout most of the country, most people remain vulnerable to it.

Trump set to appear at Pennsylvania GOP hearing on voter fraud claims

President Trumpat the White House on Tuesday. Photo: Chip Somodevilla/Getty Images

President Trump is due to join his personal lawyer Rudy Giuliani in Gettysburg, Pennsylvania, Wednesday at a Republican-led state Senate Majority Policy Committee hearing to discuss alleged election irregularities.

Why it matters: This would be his first trip outside of the DMV since Election Day and comes shortly after GSA ascertained the results, formally signing off on a transition to President-elect Biden.