• PATIENT
  • CHOICE
  • FAIRENESS

Fair Access to Diagnostics. Better Outcomes for Every Patient.

Timely, accurate diagnostic testing should not depend on insurance network restrictions. FHAC works to ensure qualified laboratories can participate in payer networks so every patient receives the right test at the right time.

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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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: