"[A] reasonable argument could be made for a strictly limited arbitration provision, to help fine-tune benchmark rates to adjust for localized market idiosyncrasies. But the outline of the revised bill goes far beyond this ... Rather than helping to ensure access to emergency care by refining benchmarks to account for local circumstances, this array of permitted justifications is so broad as to eliminate constraints and considerations of value-for-money from the determination of payment for emergency care altogether."  MORE >>