March 3, 2000
Expert Groups Oppose Cartel
Bill
The American Bar Association's Antitrust Section and
the Consumer Federation of America have reaffirmed their opposition
to H.R. 1304, the so-called Quality Health Care Coalition Act.
•The ABA section, composed of antitrust lawyers, and
CFA, the consumer watchdog group, bring different perspectives to
the proposed antitrust exemption for certain health care
professionals.
•Yet, both organizations determined that this legislation
should be defeated.
The ABA Antitrust Section report terms H.R. 1304 as "both
unwise and unnecessary."
•"The Act would protect price fixing, group boycotts,
and market or customer allocations, which occur through
negotiations with health plans, and which otherwise could be
deemed illegal per se under established antitrust
principles."
•"This broad protection from antitrust law . . . may result
in higher prices and diminished consumer choices without
improving quality or achieving other important goals in the delivery
of health care . . . ."
The Consumer Federation of America, in a letter to members of
the House Judiciary Committee, said "this bill would likely do more
harm than good for consumers." CFA pointed at how H.R. 1304
would take consumers "from the frying pan into the fire:"
•"[I]ncreased health care costs for consumers,
employers and federal and state health care programs;
•"[R]eductions in benefits to private plan
enrollees and government plan beneficiaries;
•"[D]ecreased access to health insurance coverage and to
federal and state health programs, such s Medicare and
Medicaid, and
•"[O]veruse of some health care services and a decline in
the coordination of patient care."
H.R. 1304 would unleash cartels to price-fix like
the trusts of just over a century ago, which led to adoption of our
antitrust laws.
•The CFA says, "H.R. 1304 would authorize the creation of
health care cartels, not unions." The legislation would "grant
providers a blanket [antitrust] exemption in negotiating with health
plans that covers not only health care quality issues, but also
price."
•"This strips consumers of protection from price-fixing cartels
without substituting any enforcement authority [e.g., the Federal
Trade Commission] that can intervene on behalf of consumers who are
victimized by unfair price increases or reduced access to health
care."
•Further, the ABA report says, "In fact, all competition could be
eliminated because the providers could form a single ‘bargaining
unit' without fear of antitrust challenge."
Nonphysician providers, to whom the legislation would extend
the same antitrust exemption, fear the market power their stronger
competitors would wield.
•CFA says, "They are understandably concerned that some
physicians will use their immunity to collectively demand terms from
health plans that would disadvantage competing providers. This
is not just a ‘turf war' among providers that has no effect on
consumers. Nurse midwives, nurse anesthetists and nurse
practitioners often provide care of high quality to patients in
underserved areas that have been abandoned by
physicians."
Before embarking on this anticompetitive path, Congress should
carefully consider the harmful impact H.R. 1304 will have on
consumers, patients, employees and employers. Listen to the
experts and reject this ill-conceived bill.
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