{"@context":"https://schema.org","@type":"Legislation","name":"No Surprises Act","description":"

No Surprises Act

This bill expands restrictions on charging health care plan holders out-of-network rates for certain services. First, the bill requires insurers offering plans that cover emergency services to bill plan holders no more than the median in-network rate for a particular emergency service, even if the service provider is out of network. The bill further prohibits insurers from billing plan holders more than the median in-network rate for nonemergency services provided by out-of-network providers at in-network facilities.

Out-of-network providers may not bill plan holders for the difference between the in-network and out-of-network rates for emergency services. The bill further prohibits out-of-network providers from billing plan holders for the difference in rates for nonemergency services provided at an in-network facility unless the provider complies with specified notice and consent requirements. Even when complying with these requirements, an out-of-network provider may not charge plan holders for the difference in rates for such nonemergency services if the provider is based at the in-network facility and is the only provider available to deliver the particular treatment or service at the facility.

The Department of Health and Human Services must provide grants to states to establish or maintain All Payer Claims Databases, which publish claims and payment information from insurers.

The bill also requires insurers to publish provider directories and requires the Government Accountability Office and the Department of Labor to report on certain issues related to the commercial health care market.

","legislationIdentifier":"HR 3630","legislationType":"Bill","legislationLegalForce":"NotInForce","legislationJurisdiction":"USA","author":[{"@type":"Person","name":"Frank Pallone","url":"https://legisdaily.com/mp/frank-pallone-us"}],"about":{"@type":"Thing","name":"Health"},"keywords":"Aviation and airports, Civil actions and liability, Congressional oversight, Emergency medical services and trauma care, Employee benefits and pensions, Government information and archives, Government studies and investigations, Health care costs and insurance, Health care coverage and access, Health facilities and institutions, Health information and medical records, Health programs administration and funding, Health technology, devices, supplies, Hospital care, Transportation costs","dateModified":"2025-04-23T00:00:00.000Z","url":"https://legisdaily.com/bill/USA-116-HR-3630"}

Frank Pallone

Frank Pallone

Health Subcommittee, Energy and Commerce Committee, Education and Workforce Committee