The IAM and over 65 diverse organizations recently sent a letter to the tri-agencies (Departments of Health and Human Services, Treasury and Labor), marking 100 days of enactment of the No Surprises Act (NSA). In the wake of attacks against the act, the letter urges the tri-agencies to stand firm and enforce its provisions, which protect patients from surprise medical bills that arise when insured consumers inadvertently receive care from out-of-network hospitals, doctors, or other providers they did not choose.

We strongly encourage you to defend and implement the No Surprises Act in a way that protects patients from exploitation, reduces health care costs, and adheres to the intent of the law as it was written,” reads the letter. “The principles and overall approach taken by the Departments throughout the two interim final rules should continue to guide the rulemaking process toward a prudent solution that addresses the underlying market failure and prioritizes consumers over private equity. To that end, the QPA remains the central part of the law and should remain a central part of the IDR regulations and guidance.” 

The new law took effect for health plan years beginning on or after January 1, 2022, and it applies to nearly all private health plans offered by employers (including grandfathered group health plans and the Federal Employees Health Benefits Program), as well as non-group health insurance policies offered through and outside of the marketplace. The law also contains other related provisions, including a requirement for health plans to keep network provider directories up-to-date.

“The proper administration and implementation of the No Surprises Act will reduce healthcare costs and protect patients from exploitation from providers,” said IAM International President Robert Martinez Jr. “These are tough financial times, and patients need to be protected from unwarranted bills.”

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