By: Skyler Rosellini
Executive Summary
In December 2020, Congress passed the No Surprises Act; a federal effort to protect people from surprise medical bills. Medical debt is a growing issue across the U.S., especially for the uninsured and underinsured. Starting January 1, 2022, these new rules take effect and will ban surprise bills for emergency care, non-emergency care from out-of-network providers at in-network facilities, and out-of-network air ambulance services.
The IFR, “Requirements for Surprise Billing, Part II” details additional requirements under the NSA. Such requirements include obligations for providers to deliver good faith estimates of expected medical charges, a dispute resolution process when people receive surprise bills, and additional appeal rights and protections, including protections under the ACA.