New guidelines weaken consumer protections against medical debt

Listen: Medical debt prevents Americans from purchasing a car, getting a loan, etc. New federal guidelines could weaken current consumer protections.

Noam N. Levey
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Noam N. Levey
Noam N. Levey, senior correspondent, joined KFF Health News in 2021 after 17 years at the Los Angeles Times, the last 12 as the paper’s national...
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LISTEN: Bad credit can keep you from getting a job, a car loan, or an apartment to rent. For many Americans, medical debt is to blame. KFF Health News senior correspondent Noam N. Levey appeared on WAMU’s “Health Hub” on Nov. 12 to explain why new federal guidelines on health care debt and credit reports worry some consumer protection advocates.

More than 100 million Americans are estimated to have health care debt. In response, more than a dozen states have instituted laws to keep these unpaid bills off consumer credit reports.

The Trump administration has been chipping away at these protections.

The Consumer Financial Protection Bureau, headed by President Donald Trump’s budget director, issued new guidance that challenges state laws, saying only the federal government can decide what can go in a credit report. Consumer advocates say that move could undercut state-level protections and worsen the financial strain on Americans burdened by medical bills.

KFF Health News senior correspondent Noam N. Levey appeared on WAMU’s “Health Hub” on Nov. 12 to explain why state laws like these could be especially important in the wake of the One Big Beautiful Bill Act, set to kick millions off Medicaid, and the potential lapsing of enhanced tax credits for people buying health insurance through the Affordable Care Act marketplaces.

Medicare for all would solve medical debt crisis. An infographic and chart showing the amount of medical debt in america
In 2021, Americans owes over $220 billion in medical debt. (added by Editor)
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Noam N. Levey, senior correspondent, joined KFF Health News in 2021 after 17 years at the Los Angeles Times, the last 12 as the paper’s national health care reporter based in Washington, D.C. Noam has reported on health care issues from more than three dozen states and four continents and won numerous honors, including two prestigious NIHCM awards, one for the 2019 series “Inside America’s High-Deductible Revolution,” and one for the 2022 series “Diagnosis: Debt.” He has also been published in Health Affairs, JAMA, and The Milbank Quarterly. Noam started his career at newspapers in Duluth, Minnesota; Montgomery, Alabama; and the United Arab Emirates. Before joining the L.A. Times, he was an investigative reporter for the San Jose Mercury News. Noam has a degree in history and Near Eastern studies from Princeton University.
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