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Sen. Rand Paul. Photo: Tasos Katopodis/Getty Images

Some conservative lawmakers and advocacy groups are lining up against Congress' leading solution to surprise medical bills, saying it's too much government interference.

What they're saying: "If government rate setting is viewed as a 'patient protection' in these circumstances, it will lead to efforts to 'protect' patients through government rate setting in others," the Heritage Foundation's Doug Badger wrote.

The big picture: Surprise medical bills often occur when a patient inadvertently sees a doctor who's not in their insurance network, and that doctor bills the patient for the charges that their insurer won't pay.

  • The leading proposals in the House and Senate ban doctors from charging patients more than an in-network doctor would, and require insurers to pay out-of-network providers the median in-network rate for the service in that geographic area.
  • The Senate health committee passed the bill yesterday.

How it's playing: The conservative advocacy group FreedomWorks announced a $50,000 ad campaign this week against what it referred to as the "hidden Republican efforts to bring us ever closer to socialist-style ‘Medicare for All’ proposals."

  • Sen. Rand Paul even invoked Venezuela.
  • "If you fix the price that ER doctors work at, you will get a shortage... This is what happened to Chavez, it’s what happened to Maduro. I don’t think we’re becoming Venezuela soon, but this is part of what they do down there," he said yesterday.
  • And conservative lawyer Paul Clement recently wrote that the approach could be unconstitutional.

Hospitals are catching on to this argument too. "This bill solves the immediate problem for patients, but the unintended consequences of rate setting will lead to more narrow networks and a precedent of government interference in free market negotiations," Chip Kahn, president and CEO of the Federation of American Hospitals, wrote in a statement.

On the other hand, the Manhattan Institute — another conservative think tank — spearheaded a letter signed by more than 2 dozen conservative health wonks that said providers' favorite approach could establish "an inflationary dynamic that accommodates and encourages the rapid growth of costs."

Go deeper

Updated 2 hours ago - Politics & Policy

House cancels Thursday session as FBI, Homeland Security warn of threat to Capitol

Photo: Eric Baradat/AFP via Getty Images

The FBI and Department of Homeland Security predict violent domestic extremists attacks will increase in 2021, according to a report obtained by Axios.

Driving the news: The joint report says extremists have discussed plans to take control of the Capitol and "remove Democratic lawmakers" on or about March 4. The House canceled its plans for Thursday votes as word of the possible threats spread.

3 hours ago - World

Pope Francis set to make first papal visit to Iraq amid possible turmoil

Data: Vatican News; Map: Danielle Alberti/Axios

Pope Francis is forging ahead with the first papal trip to Iraq despite new coronavirus outbreaks and fears of instability.

The big picture: The March 5–8 visit is intended to reassure Christians in Iraq who were violently persecuted under the Islamic State. Francis also hopes to further ties with Shiite Muslims, AP notes.

"Neanderthal thinking": Biden slams states lifting mask mandates

States that are relaxing coronavirus restrictions are making "a big mistake," President Biden told reporters on Wednesday, adding: "The last thing we need is Neanderthal thinking."

Driving the news: Texas Gov. Greg Abbott (R) said Wednesday he will end all coronavirus restrictions via executive order, although some businesses are continuing to ask patrons to wear face masks. Mississippi is lifting its mask mandate for all counties Wednesday, per Gov. Tate Reeves (R).