To amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing.

Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to remove the limiting charges under the Medicare program for non-participating physicians who provide the beneficiary with a specified notice of non-participation and non-acceptance of Medicare payment on an assignment-related basis. Preempts state laws limiting charges for physicians' services.