A bipartisan group of lawmakers, including five medical doctors, has introduced a bipartisan bill in the House to enforce provisions of the No Surprises Act. The bill could increase the maximum penalties for employer health plans for delayed payments from a No Surprises Act claim to $10,000. The current penalty is $100. Furthermore, the bill would require federal officials to annually report their work to ensure health plan compliance with the Act.
The No Surprises Act requires health plans and healthcare providers to shield patients from “balance billing,” or extra, unanticipated bills. These bills often arise when patients get emergency care or get care from in-network hospitals but ultimately receive services from out-of-network radiologists or other providers.
Currently, the Act can