About
THE FAIR HEALTHCARE ACCESS COALITION (FHAC)
The Fair Healthcare Access Coalition (FHAC) is a national initiative dedicated to protecting patient choice and eliminating structural barriers that limit access to essential diagnostic testing. FHAC brings together patients, clinicians, independent laboratories, health systems, and policymakers to advance equitable, timely access to medical innovation.
A core component of our mission is the Any Willing Provider (AWP) principle, which ensures that any qualified laboratory meeting licensure and credentialing standards must be allowed to participate in insurance networks. Restrictive or exclusive contracting should never prevent a patient from accessing the diagnostic test that could change the course of their health.
Fair network access is essential to:
Improve diagnostic accuracy
Prevent repeated or unnecessary treatments
Reduce the burden of recurrent infections
Slow the progression of antimicrobial resistance
Lower long-term healthcare costs
Strengthen public health infrastructure
FHAC MISSION
FHAC works nationally to:

PROTECT PATIENT ACCESS
Protect patient access and choice to healthcare and diagnostic testing, regardless of insurance plan or provider.
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ENSURE QUALIFIED LABS ARE IN NETWORK
Ensure any qualified laboratory can join payer networks without discrimination.
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ADVOCATE FOR NETWORK INCLUSION
Advocate for transparency and consistency in network inclusion decisions.
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SUPPORT COMPETITION
Support competition and innovation in clinical diagnostics to improve patient outcomes.
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PROVIDE RESOURCES TO PATIENTS & PROVIDERS
Empower patients and providers with resources to challenge inappropriate test denials.
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COLLABORATE TO MODERNIZE POLICIES
Collaborate with clinicians, health systems, and policymakers to modernize diagnostic access policies.
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PROTECT PATIENT ACCESS
Every patient deserves timely access to medically necessary diagnostic testing, regardless of their insurance plan or which laboratory their health system prefers. Today, millions of patients face delayed or incomplete diagnoses because qualified, CLIA-certified laboratories are excluded from payer networks. FHAC works to eliminate these barriers by ensuring patients retain the right to choose the most appropriate provider for their care—especially in cases involving rare, chronic, or hereditary disease.
Our goal is simple: the right test, at the right time, for every patient.

ENSURE QUALIFIED LABS ARE IN NETWORK
Independent laboratories play a critical role in early detection, rare disease diagnostics, antimicrobial stewardship, and precision medicine. Despite meeting all state and federal quality standards, many remain locked out of Medicaid and commercial insurance networks due to outdated contracting rules. FHAC advocates for policies that classify CLIA-certified laboratories as providers, not vendors, ensuring they can participate on fair and nondiscriminatory terms.
When qualified labs are included in networks, patients benefit—and healthcare systems perform better.

ADVOCATE FOR NETWORK INCLUSION
Network inclusion decisions often occur behind closed doors, leaving laboratories without clear explanations and patients without access to essential testing. FHAC promotes transparency and accountability in how payers decide which providers can join their networks. We advocate for consistent standards, clear timelines, and reasonable denial criteria so laboratories—and the patients they serve—can navigate these processes fairly.
Our aim is a system where quality and compliance—not favoritism—determine who gets in.

SUPPORT COMPETITION
Healthy competition drives innovation, lowers costs, and improves care. Yet restrictive contracting and exclusive laboratory arrangements limit competition in ways that ultimately harm patients. FHAC supports policies that allow qualified laboratories—large and small—to participate in networks, encourage technological advancement, and make cutting-edge diagnostics available to more communities.
By leveling the playing field, we unlock better outcomes and accelerate the future of personalized medicine.

PROVIDE RESOURCES TO PATIENTS & PROVIDERS
Patients and clinicians often face unnecessary test denials that delay diagnosis and frustrate care. FHAC provides tools, templates, and guidance to help individuals challenge inappropriate denials, appeal coverage decisions, and understand their rights under state and federal law.
Our goal is to ensure no patient or provider navigates coverage barriers alone—and that medically necessary testing is treated as an essential part of care, not an administrative burden.

COLLABORATE TO MODERNIZE POLICIES
Improving diagnostic access requires collaboration across the entire healthcare ecosystem. FHAC works with clinicians, hospitals, patient advocacy groups, public health officials, and policymakers to develop modern, evidence-based network access policies that reflect today’s diagnostic capabilities. Together, we aim to build a healthcare system where innovation is encouraged, not restricted, and where access keeps pace with medical progress.
We believe that sustainable reform happens with stakeholders—not to them.
Take Action:
Add Your Name to a Federal or State Letter of Support
FHAC invites key voices to support stronger diagnostic access protections.
Choose the petition you would like to sign to move and inspire your legislators to act:
The National Diagnostic
Access Challenge
Across the United States, restrictive network practices and outdated contracting models create a diagnostic access gap that impacts millions of patients.
Common Barriers Include:
- Advanced tests not covered despite clinical necessity
- Exclusive contracting restricting laboratory choice
- Independent CLIA-certified labs blocked from network participation
- Delayed or inaccurate diagnosis
- Recurrent infections due to lack of appropriate testing
- Increased antibiotic usage and antimicrobial resistance
- Higher downstream costs for hospitals, Medicaid, and private insurers
These Barriers Disproportionately Harm:
- Children with unexplained symptoms
- Patients with rare or genetic conditions
- People undergoing transplant evaluations
- Individuals with recurrent or resistant infections
- Rural, low-income, and medically underserved populations
Diagnostic access is both a patient rights issue and a public health priority.
A Closer Look:
Diagnostic Access Barriers In Maryland
While FHAC is a national coalition, Maryland illustrates how outdated classification policies harm patients and increase system-wide costs.
In Maryland, independent CLIA-certified laboratories are classified as vendors, not providers, under Medicaid and many MCOs. This classification prevents qualified laboratories from joining networks even when they meet all federal and state standards.
Consequences for Maryland Patients:

Repeated misdiagnoses due to unavailable testing

Recurrent infections treated empirically without identifying cause

Multiple rounds of antibiotics without resolution

Higher risk of antimicrobial resistance

Avoidable emergency department visits and hospitalizations

Increased long-term costs to Medicaid and the state healthcare system
REAL PATIENT STORIES
WHY DIAGNOSTIC ACCESS MATTERS:
Case Example:
Adult with Recurrent Infection
A Maryland patient experienced repeated infections over three years, receiving multiple antibiotic courses without improvement. Essential molecular testing was not covered. When advanced testing was finally obtained, the underlying cause was identified in two weeks, allowing targeted treatment and ending the infection cycle.
Case Example:
Pediatric Patient
A newborn was hospitalized repeatedly for unexplained symptoms. Despite clinical indications, insurance denied access to a comprehensive diagnostic test. Independent testing confirmed a treatable condition, allowing clinicians to stabilize the infant and prevent further hospitalizations.
These stories represent a larger, preventable pattern across the country.
REAL PATIENT STORIES
WHY DIAGNOSTIC ACCESS MATTERS:
Case Example:
Adult with Recurrent Infection
A Maryland patient experienced repeated infections over three years, receiving multiple antibiotic courses without improvement. Essential molecular testing was not covered. When advanced testing was finally obtained, the underlying cause was identified in two weeks, allowing targeted treatment and ending the infection cycle.
Case Example:
Pediatric Patient
A newborn was hospitalized repeatedly for unexplained symptoms. Despite clinical indications, insurance denied access to a comprehensive diagnostic test. Independent testing confirmed a treatable condition, allowing clinicians to stabilize the infant and prevent further hospitalizations.
These stories represent a larger, preventable pattern across the country.
JOIN THE COALITION
Support equal network access for qualified laboratories. Your endorsement strengthens national momentum and helps protect patient choice. Subscribe to our mission by filling out the form that best describes you:
JOIN THE COALITION
Support equal network access for qualified laboratories. Your endorsement strengthens national momentum and helps protect patient choice. Subscribe to our mission by filling out the form that best describes you:
