Commonwealth Fund March 16, 2023
Madeline O’Brien, Jack Hoadley

Toplines

Since the enactment of the federal No Surprises Act, states have continued to strengthen consumer protections against surprise medical bills

From more robust protections against out-of-network balance billing to reforms of the arbitration process for determining provider payments, states are building on the No Surprises Act

The No Surprises Act (NSA) establishes federal prohibitions against certain surprise medical bills. This may happen, for instance, when patients receive emergency care from an out-of-network provider or facility or from an out-of-network provider at an in-network facility. Prior to the NSA, insurers could refuse to pay these higher out-of-network charges and providers would frequently pass the balance of the bill on to the consumer.

Patients are now protected from these “balance bills,”...

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Topics: Govt Agencies, Patient / Consumer, Provider, States
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