Healthcare Provider Liberation Act | Free the Doctor. Heal the System. Save the Patient.
⚕️
H.R. ___ · 119th Congress

Free the Doctor. Heal the System.

Your doctor spends twice as much time on insurance forms as looking at you. This bill ends that—permanently—without costing you a penny.

Zero
Paperwork for doctors
$266B
Wasted on admin yearly
25%
Medicare raise for primary care
$0
Taxpayer cost
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The Crisis

Your Doctor Is Drowning in Paperwork

For every hour your doctor spends with you, they spend nearly two hours filling out insurance forms. Nurses lose 25–40% of their shift to documentation. Physical therapists spend more time justifying treatments than delivering them. The system is crushing the people who are supposed to be healing you.

2:1
Paperwork vs. Patients

Doctors spend almost twice as many hours on admin and EHR as on direct patient care. That's backwards.

$266B
Burned Every Year

Administrative complexity eats $265.6 billion annually—15% of all healthcare spending. That money should fund care, not clipboards.

-33%
Real Pay Since 2001

Medicare payments to doctors have dropped by a third after inflation. Your doctor is doing more paperwork for less money.

Crisis
Burnout Epidemic

Physicians, nurses, therapists—all reporting record burnout, emotional exhaustion, and leaving medicine entirely. Who heals the healer?

Section 6 · The Core Promise

The Zero Insurance Paperwork Mandate

This is the heart of the bill: no doctor, nurse, therapist, or any healthcare provider will ever fill out another insurance form. Not a claim. Not a prior auth. Not an appeal. Not a credentialing packet. Nothing. All of it is handled by trained professionals from the Healthcare Claims Processing Corps—at zero cost to the provider.

❌ Gone Forever

🗑️

Claims form preparation, coding, and submission

🗑️

Prior authorization requests and appeals

🗑️

Utilization review documentation

🗑️

Step therapy and formulary exceptions

🗑️

Insurance credentialing paperwork

🗑️

All insurance company correspondence

✅ What Doctors Still Do

📝

Write clinical notes for patient care continuity

🏷️

Record diagnosis and procedure codes at point of service

✍️

Sign off on medical necessity with their clinical judgment

❤️

Everything else? Spend it on the patient.

Section 5 · Who Does the Paperwork?

The Healthcare Claims Processing Corps

If doctors don't do the paperwork, who does? A new corps of certified, trained, independent contractors embedded in every hospital, clinic, and private practice in America. They work for the government—not the insurance company. Their job is to fight for every dollar the doctor earned.

🏥

Deployed Everywhere

One contractor per 50 hospital beds. One per 5 clinic providers. One per 3 doctors in private practice. Rural areas get 1.5x the standard. Therapy centers: one per 8 therapists.

🎓

Certified Professionals

Every contractor holds CPC or CCS coding certification, HIPAA training, and passes a federal background check. These aren't temps. They're specialists.

🛡️

Independent & Neutral

No financial ties to insurance companies. No bonuses for denials. No pressure to alter clinical decisions. They work for the provider, not the payer.

⚔️

Advocacy Duty

Their legal mandate: maximize legitimate reimbursement, appeal every improper denial, ensure timely and accurate payment. They fight for you.

Who Pays for This?

The insurance companies, drug companies, and device makers who created the paperwork problem in the first place. A tiny assessment on their revenues—1.25% on insurance premiums, 0.5% on pharma, 0.35% on devices—funds the entire Corps. Projected revenue: $8–12 billion a year. Zero taxpayer dollars.

Sections 10–11 · Pay & Independence

Pay Doctors What They're Worth

Medicare has cut real physician pay by a third since 2001. Independent practices are disappearing as private equity firms swallow them whole. This bill reverses both trends with real money and real protections.

25% Medicare Raise for Primary Care

Every family doctor, internist, pediatrician, and geriatrician gets a 25% increase on evaluation and management services. Adjusted for inflation every year. Retroactive to the erosion that's been ignored for two decades.

+25% E/M codes

Independent Practice Bonus

Doctor-owned practices get an extra 5% on top of Medicare E/M rates. Because physician-owned clinics deliver better care, more choice, and more autonomy—and they deserve to survive.

+5% indie bonus

Continuity of Care Bonus

Doctors who keep long-term relationships with patients—annual wellness visits for 70%+ of their panel, 3+ year relationships, proactive chronic care—earn a 10% bonus. Loyalty rewarded.

+10% continuity

Therapy Services Raise

Physical therapists, occupational therapists, and speech-language pathologists get a 15% Medicare increase. They're drowning in the same paperwork ocean and deserve the same rescue.

+15% PT/OT/SLP

🏥 Independent Practice Preservation Fund

Low-interest loans, $100K grants for rural practices, tech assistance, and emergency stabilization loans for practices under corporate acquisition pressure.

🚫 Anti-Competitive Protections

Bans hospital system exclusive referral mandates, eliminates non-compete clauses within 25 miles, and prohibits predatory pricing designed to kill indie competition.

Section 9 · Prior Authorization

No More Permission Slips to Treat Your Patient

Prior authorization is the insurance industry's favorite weapon: make the doctor beg for permission before treating you. This bill guts it. If your doctor already treated you for the same thing last year? No auth needed. Generic drugs on formulary? No auth. Preventive care? No auth. And if the insurance company doesn't respond in time, it's automatically approved.

🚫 No Prior Auth Required For:

Any service already approved for the same patient in the past 12 months. Any generic drug on formulary. Standard lab tests. All USPSTF Grade A/B preventive services. Chronic condition medications stable 6+ months. Any service category with a 90%+ historical approval rate.

⏱️ When Auth Is Still Needed:

The Claims Processing Corps handles it—not the doctor. Urgent: 24-hour response or auto-approved. Non-urgent: 72 hours or auto-approved. All approvals last 12 months minimum. And the "Gold Card": any doctor with a 90%+ approval rate is permanently exempt for that service category.

Sections 13 & 16 · Rural America

Rural Doctors Get the Heroes' Deal

If you're willing to practice where nobody else will—in the places that desperately need you—this bill rolls out the red carpet. Faster loan forgiveness, telehealth credentials, bonus pay, and 50% more paperwork support than urban areas.

🎓

5-Year Full Loan Forgiveness

Primary care doctors, nurses, PTs, OTs, and SLPs who serve in Rural Shortage Areas get 100% student loan forgiveness after just 5 years. All other underserved areas: 7 years. Everyone else in primary care: 50% at 10 years.

📡

Tele-Specialist Credentials

New federal certification for telehealth specialists serving rural patients. 15% Medicare bonus, accelerated loan forgiveness, expedited multi-state licensing. 100+ hours of rural telehealth per year qualifies you.

📚

Full-Ride Scholarships

The Primary Care Provider Scholarship: full tuition for med students, nursing students, PT/OT/SLP students who commit to 5 years of rural practice after training. We pay for your school. You heal the town.

Section 14 · Why This Matters

Healthcare Is a Calling, Not a Corporate Job

Every major faith tradition and every secular ethical system agrees: healing the sick is among the highest forms of human service. This bill recognizes that. And it measures success not just by cost savings, but by whether providers are actually flourishing—with purpose, autonomy, and the time to practice the vocation they were called to.

✝️ Christianity Healing ministry & compassion
✡️ Judaism Pikuach nefesh—saving life
☪️ Islam Medicine as worship & mercy
☸️ Buddhism Karuna—compassion
🕉️ Hinduism Seva—selfless service
🌍 Secular Ethics Beneficence & do no harm

Provider Flourishing Metrics

This bill measures success by whether doctors are actually healthy, free, and fulfilled.

💗

Mental Health

Burnout rates, exhaustion, personal accomplishment

🦋

Autonomy

Clinical freedom, practice ownership, independence

Meaningful Work

Vocational satisfaction, sense of purpose

Time Affluence

Hours on patients vs. hours on paperwork

💰

Financial Stability

Practice viability, fair pay, debt burden

🏥

Indie Practice Rates

Are doctor-owned practices surviving?

Sections 7 & 19 · The Money

The Industry That Built the Problem Pays to Fix It

Insurance companies created the paperwork nightmare. Drug companies profit from the administrative maze. Device makers benefit from the billing complexity. This bill makes them fund the cleanup. Your tax dollars never enter the equation.

Administrative Responsibility Assessments

Insurance issuers (1.25% premiums)~$6–9B
Third-party admins (0.75% claims)~$1–2B
Pharma (0.5% US revenues >$100M)~$0.5–1B
Device makers (0.35% US revenues >$50M)~$0.2–0.4B
Annual Revenue$8–12B

Patient Protections

No pass-through surchargesBanned
Premium hikes above baseline +2%Enhanced review
Admin savings offset requiredBefore any increase
Medical loss ratio85% / 80% min
Clean claims paid within15 days electronic
Late payment penaltyPrime + 5%

Self-Funded. Deficit-Neutral. Zero Taxpayer Cost.

If revenues fall short, the Secretary adjusts assessments or cuts spending. The Trust Fund maintains a 3-month reserve. A 10-year sunset kills the program if it doesn't prove itself through Provider Flourishing Metrics.

Self-Funding No General Fund No Deficit Increase Trust Fund w/ Reserve Annual Reporting 10-Year Sunset State Authority Preserved Commerce Clause Full Severability

What This Bill Promises

To every doctor You will never fill out another insurance form. A trained professional handles it all—for free. Your job is the patient. Period.
To every nurse You get 25–40% of your shift back. No more documentation eating the hours you became a nurse to spend on people.
To every therapist PTs, OTs, SLPs—you get a 15% raise, zero insurance paperwork, and a dedicated claims processor for every 8 of you. Your hands belong on patients, not keyboards.
To every patient Your doctor will look at you, not a screen. Prior auth won't delay your treatment. And the system that pays for this doesn't touch your taxes or your premiums.
To every rural town 5-year loan forgiveness, full-ride scholarships, tele-specialist bonuses, and 50% extra claims support. We're bribing the best doctors in America to come to you—and stay.
To every indie practice A 5% bonus, low-interest loans, $100K rural grants, emergency stabilization funds, and laws banning the corporate tricks used to swallow you. You survive. You thrive.
To every taxpayer Insurance companies, pharma, and device makers fund this entirely. Hard fiscal controls. Sunset clause. If it doesn't work, it dies. Your wallet is untouched.

Free the Doctor. Heal the System.

Doctors became doctors to heal people. Nurses became nurses to care for people. This bill gives them back the one thing the system stole: time with you.

Paid for by Gregory Burgess for Congress
No Party Preference · California's 2nd Congressional District · 2026
"I Want Your Vote, Not Your Money"

The Healthcare Provider Liberation Act is one of 38 fully drafted federal bills
in the platform "An Honest Economy for All."
Every bill includes constitutional compliance analysis, fiscal solvency projections,
and anti-overreach provisions.

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