PHOENIX, Ariz. - Navigating the health-care system can be difficult on a good day - dealing with insurance companies, doctors, deductibles and copays is frustrating. But in a recent survey, Arizonans said getting a surprise medical bill after a hospital visit is at the top of their list.

"Surprise" bills are those sent by out-of-network providers, sometimes for thousands of dollars on top of what your insurance pays.

William McGovern, health-care campaign associate with the Arizona Public Interest Research Group Education Fund, said other than the cost, perhaps the biggest problem with these bills is that most people never see them coming.

"Patients do the right thing," said McGovern. "They go in, they check ahead of time if the hospital's in-network, they may even check that the primary doctor they are going to see is in-network. But other doctors that they see while they're there, or maybe the hospital sent their tests to a lab or they have imaging done, and those services end up being out-of-network."

McGovern said regulations are currently in place to help Arizonans deal with surprise bills, and federal legislation will kick in next year, giving patients new rights aimed at leveling the playing field.

He said in the meantime, the state of Arizona has a program that acts as a go-between for patients and out-of-network providers to negotiate the cost of surprise bills.

"The way it works is, if a consumer gets a surprise bill that's over $1,000," said McGovern, "they can file a request to dispute the bill through the Department of Insurance and Financial Institutions, to get that bill reduced."

The "No Surprise Act" is federal legislation that takes effect in 2022, with a robust set of protections that should eliminate most surprise bills. Until then, McGovern said Arizonans can take steps now to protect themselves from out-of-network bills.

"When you make your appointment, you can insist that everyone on your care team is in-network," said McGovern. "And in Arizona, out-of-network providers in network hospitals should give patients a consent form, alerting them to the fact that they're out-of-network."

The Arizona PIRG Education Fund has also developed a detailed "tip sheet" on preventing unexpected medical bills, and how to fight them if they show up. It's online at 'ArizonaPIRGedfund.org.'

Advocates are cheering the General Assembly for legislation protecting Marylanders' data privacy and are calling on Gov. Wes Moore to sign the bill.

The Maryland Online Privacy Protection Act of 2024 would limit data collection by tech companies as well as their ability to bury unfavorable terms in complex license agreements.

R.J. Cross, director of the Don't Sell My Data Campaign for the Public Interest Research Group, said the new law is a win for consumers.

"No one reads those long privacy policies. They're often vague and full of legalese and so, hiding what a company wants to do with your data there is pretty duplicitous and not being consumer friendly," Cross contended. "The Maryland law takes a very different approach and said it's not enough; you can't just hide things in your fine print. You need to have good data practices that protect people upfront."

She pointed out the Maryland law would be one of the strongest in the nation. If Gov. Moore signs the bill, it would go into effect in October 2025.

The bill gives consumers the right to have some personal data deleted and places limits on the kind of widespread monitoring used to generate targeted advertising. Cross noted such data collection is common.

"A lot of our favorite websites and apps are gathering things like what you've searched for online, every website you visited, your location, maybe even your entire phone contact list," Cross outlined. "It has turned around and sold that information to companies that you've probably never even heard of."

With data breaches consistently making news, Cross added the bill will improve Marylanders' personal security.

"A lot of what this will do is limit how much data is being collected about you and sold, which will help your personal security in a big way," Cross explained. "The more data that companies collect about you, and the more they sell it to other companies, the more likely it's going to be exposed in a breach or a hack."


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Florida residents can now file their simple income-tax forms for free and save time through the Internal Revenue Service's Direct File pilot program. It's estimated the simplified filing process could eventually save Florida taxpayers more than $530 million in filing fees every year.

With the April 15 income-tax filing deadline right around the corner, Adam Ruben, vice president for campaigns and political strategy at the Economic Security Project, said you can easily use the program by visiting the website Directfile.IRS.gov.

"It's an interview-based questionnaire," Ruben said. "So it's something that people can use on their phones on their computers available in English and Spanish that asks people questions and pretty much plain language, and you fill in the answers. And it fills in the tax form for you."

Florida is one of a dozen states where IRS Direct File is a pilot project. If it were to expand nationwide and be available to more taxpayers, Ruben estimated that within five years, it could save Americans $8 billion in tax-preparation fees and another $3 billion worth of time annually.

However, opponents have argued that the government is wasting resources and will snag business from professional tax preparers and programs that have lobbied against Direct File.

Chris Moreno, director of financial capability for Catalyst Miami, a nonprofit that works with communities through a variety of free services, said a stress-free filing process that can be done from the comfort of your home or the convenience of your phone is worth taking advantage of.

"If you are an average worker who gets a W-2 - you're employed for a company, you don't own any companies or businesses - you'd probably be the ideal candidate for someone to be able to use Direct File this year," Moreno said.

While a free-file program has been available, many taxpayers were unaware they had access to it. An investigation by ProPublica revealed tactics by Intuit, maker of TurboTax, to cloud the free-file program.

And state auditors, comptrollers and treasurers in 18 states - including Florida - sent a letter in March to the federal government urging the termination of Direct File. They claimed it might lead to confusion about state tax filings, potentially resulting in penalties and loss of state refunds.


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As out-of-state, and sometimes disreputable companies offering solar installations crowd the market, a local effort called Solarize aims to connect residents and small businesses with pre-screened solar contractors, while also providing discounts on installation.

Nick Hartnett, Pure Power Solar and Solarize partner, said residents considering solar should find local companies, read reviews, and talk to customers who've had systems installed, adding the Solarize program is designed to do the legwork.

"There's a lot of aggressive sales techniques. And so, when companies that aren't really invested in the local community, and don't plan on being there, for a while, come in with a goal to just sell as much as they can," he said.

David Gomez of Daily Green Power, another Solarize installation partner, says his company went through a thorough analysis based on experience and work quality to be selected as a vetted contractor.

Andy McDonald, Solarize Frankfort Coordinator, said enrolling in Solarize allows residents to get a free solar assessment and installation estimate from contractors screened to work for the program.

"There's no obligation of people to buy anything. If after they get an assessment from Solarize Frankfort, they want to go get estimates from other contractors, they're welcome to do that. But they'll be empowered with information from us about the solar potential on their property," he continued.

Frankfort homeowner David Hensley said after doing online research on solar installation, he decided to use Solarize.

"The price was actually lower than it would have been if I'd gone out by myself. Plus the fact that these people had a good reputation, they've been vetted by both local and state agencies. That made me feel quite confident in the decision just to simply go with them, " he explained.

A few months later, Hensley is saving money on his electricity bills and is playing his part in reducing carbon emissions, he said.