NEW YORK - New Yorkers can breathe a sigh of relief this month because they now have new protections from so-called surprise medical bills.

Many New Yorkers ended up with big bills for out-of-network care because of visits to the emergency room. Chuck Bell, programs director for Consumers Union, said a new law that took effect this month provides much-needed protections.

"Through this new law, our consumers in New York state will be able to avoid getting most surprise medical bills in the first place," he said, "and when they do get a surprise bill, this law will help them prevent protracted financial disputes."

On average, Bell said, about 2,000 New York consumers per year filed complaints about surprise medical bills.

Heidi Siegfried, project director for New Yorkers for Accessible Health Coverage, said the new law puts the responsibility on doctors and health networks to ensure that their network information is up to date, and protects consumers who may have relied on outdated information.

"The plan and the provider have to work out what the payment is going to be," she said, "and the patient does not have to pay anything other than the normal in-network charges if they are seeing an out-of-network provider and it wasn't their fault."

Bell said the law also protects New Yorkers from so-called drive-by doctors who were not in the initial game plan when patients underwent a procedure.

"A physician that you didn't expect sometimes shows up during the procedure, and afterwards you find you have a bill for visiting an out-of-network doctor," Bell said. "So the law provides for greatly expanded disclosure to consumers when out-of-network doctors are going to be involved in your care."

The new law also calls for an examination of health networks to make sure they actually provide all of the suitable care that New Yorkers need. If any network is found not to have a provider, New Yorkers will be able to go out of network without paying extra. Consumers still need to do their homework and see an in-network provider when they are available.


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TAMPA, Fla. -- Move United's USA Wheelchair Football League is expanding from four cities to nine, including Tampa, to give athletes with disabilities a chance to compete against the best adaptive football players in the country.

Ryan Lindstrom, a Navy veteran and quadriplegic athlete, was attending technical school when he was partially paralyzed in a car crash. His recovery sparked a love for nearly every kind of wheelchair athletics, including wheelchair rugby.

He's competed at the highest levels, just shy of making the USA Rugby Olympic team, so Lindstrom said he could not miss a chance to try out for the new wheelchair football league.

"It's one of those new sports that's just coming out for us, so it's exciting to be in on the ground floor and get out there and try something different," Lindstrom explained. "And then, you know, the tryouts, I felt they went pretty good, we had a good time, we had a pretty decent turnout."

The expansion is funded in part by the National Football League and the Bob Woodruff Foundation. An additional tryout session will be held July 31 in Tampa. Then, all nine teams will compete this fall in the league's inaugural season.

Lindstrom encouraged everyone, especially people in wheelchairs, to be more active, compete and see what the body is capable of. Among other things, he's played rugby, basketball, softball, tried hand-cycling and archery, and now, football.

"It's a new sport for everybody, so we're all still learning the rules, still learning how it's all working out," Lindstrom noted. "Like, I've been going over the rulebook myself, just sitting here at the house and stuff, because you've got to figure out what rules change, what rules stay the same, for football."

The USA Wheelchair Football League was founded in 2019 with four teams; Chicago, Kansas City, Los Angeles and Phoenix. The expansion added Tampa, Birmingham, Buffalo, Cleveland and New Orleans.

According to Move United, the grant that made the expansion possible will also help grow the sport through coaching education and learn-to-play clinics.

DES MOINES, Iowa -- Iowa's government has 180 boards and commissions, with many consisting of appointed members, but advocates fear most don't include people with disabilities.

An emerging effort aims to get more of these voices to serve on public panels.

The Iowa Developmental Disabilities Council recently adopted its latest five-year plan, which outlines the organization's top goals. A new focus is increasing participation in local and state boards and commissions.

Brooke Lovelace, executive director of the Iowa Developmental Disabilities Council, said there has not been much tracking of the issue. While there are some disability-specific panels, she contended the community should push to be part of decision-making in all areas.

"Boards and commissions that folks with disability should be applying for and serving on and something that's of interest to them," Lovelace outlined. "Whether that be economic development, the art council."

Lovelace argued not having influence can derail progress for the disability community, such as the recent election law adopted by Iowa. Among other things, it places restrictions on ballot drop boxes.

The council is having conversations with the governor's office, which appoints members, about increasing inclusion. There's also an online talent bank launched by the Human Rights Department in 2019, designed to encourage underserved Iowans to consider openings.

Monica Stone, deputy director of the Department, said the talent bank started shortly before the pandemic, so they have not been able to get a clear sense yet of how effective it is. But she added they are trying to increase awareness, noting a challenge is convincing those with disabilities they don't have to have a lengthy background in a specific area to be considered.

"I think sometimes people think you have to be something more special in order to put your name in the hat," Stone observed. "And the truth is, the people who serve on appointed boards and commissions are special because they choose to spend their time with public service, but they are everyday Iowans."

Similar efforts have occurred in states like Pennsylvania, which launched the Inclusive Leadership in Action project.

The Iowa Developmental Disabilities Council believes it is still an overlooked issue, and said the Hawkeye State could serve as a leader in gathering firm data while boosting recruitment.

DENVER - State health agencies are continuing to help people with disabilities who are physically unable to leave their homes to get COVID-19 vaccines, but work still is needed to reach some of the state's most vulnerable residents not already in Medicaid and other databases.

Bonnie Silva - director of the community living office with the Colorado Department of Health Care Policy and Financing - said so far, local vaccine providers have been tapped to serve almost 95% of the state's identified homebound population.

"Our goal was, 'How do we leverage local solutions where those are in place?' And so literally going county by county, region by region in Colorado so that we could understand what local solutions they had in place, and how as a state entity we could support them," said Silva.

Silva's team surveyed city and county health agencies, and identified fire departments, ambulance services and other providers who were able to bring vaccines directly to homes.

Vaccines are administered to homebound residents and anyone else nearby who wants one.

To reach people of color and traditionally harder-to-reach communities, Silva said regional agencies worked with trusted voices including church leaders and nonprofits including ARC of Colorado and the Colorado Cross Disability Coalition.

Silva said the biggest blind spot continues to be people who are homebound or experiencing homelessness and unable to travel, but are not connected to services. She encouraged all Coloradans to help her team reach those who want vaccines by calling their toll-free hotline, 1-877-COVAXCO, or 877-268-2926.

"Call on behalf of maybe a neighbor or friend," said Silva. "Just really make sure that every Coloradan who wants the vaccine is able to get one, and to hear that we have the infrastructure in place to make sure that they are, in fact, able to get it."

The Colorado Department of Health has issued a request for proposals, to find a single vendor to manage the work of getting health services to the state's homebound residents over the longer term. The contract is expected to be awarded by mid-July.