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Ask Your Rep. to Protect Pennsylvanians from Surprise Medical Bills

1 in 3 Pennsylvanians have received a surprise medical bill in the last year, most at no fault of their own.

Pennsylvanians need protections against unfair surprise medical bills. Fill out the form below to send a note to your Representative in Harrisburg asking them to put a stop to surprise medical bills in Pennsylvania ASAP.

We just need a few pieces of information to connect you with your representative:

First Name*

Last Name*

Email Address*

Address, line 1*

City*

Phone

State*

Zip Code*

TIP: Please customize the note below with your own thoughts! If you have a personal story about surprise medical bills, include it in your note - this helps lawmakers understand the importance of the issue to real people.

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ORGANIZATION NAME
ORG ADDRESS LINE 1 ORG ADDRESS LINE 2
ORG CITY, ORG STATE ORG ZIP
ORG CONTACT PHONE
ORG CONTACT EMAIL

Ask Your Rep. to Protect Pennsylvanians Against Surprise Medical Bills

Your Pennsylvania Representative:

Subject: Please Take Action on Surprise Medical Bills on Day 1 of the New Session

Message:

Remaining:

Ask Your Rep. to Protect Pennsylvanians from Surprise Medical Bills

ORGANIZATION NAME ORG ADDRESS LINE 1 ORG ADDRESS LINE 2 ORG CITY, ORG STATE ORG ZIP ORG CONTACT PHONE ORG CONTACT EMAIL

Ask Your Rep. to Protect Pennsylvanians Against Surprise Medical Bills

ORGANIZATION NAME ORG ADDRESS LINE 1 ORG ADDRESS LINE 2 ORG CITY, ORG STATE ORG ZIP ORG CONTACT PHONE ORG CONTACT EMAIL

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ORGANIZATION NAME ORG ADDRESS LINE 1 ORG ADDRESS LINE 2 ORG CITY, ORG STATE ORG ZIP ORG CONTACT PHONE ORG CONTACT EMAIL

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ORGANIZATION NAME ORG ADDRESS LINE 1 ORG ADDRESS LINE 2 ORG CITY, ORG STATE ORG ZIP ORG CONTACT PHONE ORG CONTACT EMAIL

ORGANIZATION NAME
ORG ADDRESS LINE 1 ORG ADDRESS LINE 2
ORG CITY, ORG STATE ORG ZIP
ORG CONTACT PHONE
ORG CONTACT EMAIL

ORGANIZATION NAME
ORG ADDRESS LINE 1 ORG ADDRESS LINE 2
ORG CITY, ORG STATE ORG ZIP
ORG CONTACT PHONE
ORG CONTACT EMAIL

ORGANIZATION NAME
ORG ADDRESS LINE 1 ORG ADDRESS LINE 2
ORG CITY, ORG STATE ORG ZIP
ORG CONTACT PHONE
ORG CONTACT EMAIL

ORGANIZATION NAME
ORG ADDRESS LINE 1 ORG ADDRESS LINE 2
ORG CITY, ORG STATE ORG ZIP
ORG CONTACT PHONE
ORG CONTACT EMAIL