No Surprises Act Enforcement Act
Take action
Record your position on this measure.
Create an account to record your position, submit testimony, or contact your legislator.
Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Overview
The No Surprises Act Enforcement Act aims to strengthen penalties for group health plans and health insurance issuers that violate balance billing requirements under the No Surprises Act. It increases financial penalties for non-compliance, enhances transparency reporting, and clarifies enforcement procedures related to payment determinations. Specifically, it raises the potential penalties for violations of balance billing rules within the Public Health Service Act, the Employee Retirement Income Security Act, and the Internal Revenue Code.
Key provisions
- Increased financial penalties for group health plans and health insurance issuers failing to comply with balance billing requirements.
- Raises the maximum civil penalty for violations of balance billing rules to $10,000 per individual.
- Requires enhanced transparency reporting to Congress regarding audits, enforcement actions, and common violations.
- Clarifies the timing and amount of payments required from nonparticipating providers and facilities.
- Establishes a three-fold penalty for late payment or non-payment of balances due under the No Surprises Act.
- Updates reporting requirements to include details on complaints, corrective actions, and the most frequently reported violations.
- Expands the scope of reporting to include audits and enforcement actions related to air ambulance services.
- Modifies reporting requirements for the Internal Revenue Code to align with those for the Public Health Service Act and ERISA.
Bill text
Read the latest version inline or switch to a previous version.
Text extraction is in progress. View the official source.
Sponsors
Official sponsors from legislative records.
38 on record
Primary sponsor
Cosponsors
Arguments
Reasons offered for and against this legislation.
Arguments in favor
No arguments in favor have been submitted.
Submit yoursArguments opposed
No arguments opposed have been submitted.
Submit yours