No Surprises Act

E851378

The No Surprises Act is a U.S. federal law that protects patients from unexpected out-of-network medical bills and limits balance billing in many emergency and non-emergency care situations.

All labels observed (1)

Label Occurrences
No Surprises Act canonical 3

How this entity was disambiguated

Statements (48)

Predicate Object
instanceOf United States federal law ⓘ
health care consumer protection law ⓘ
aimsTo reduce medical debt caused by unexpected bills ⓘ
shift payment disputes from patients to insurers and providers ⓘ
appliesTo certain non-emergency services at in-network facilities ⓘ
emergency services ⓘ
group health plans ⓘ
individual health insurance coverage ⓘ
most employer-sponsored health plans ⓘ
patients with private health insurance ⓘ
category health insurance regulation ⓘ
patient financial protection ⓘ
containsProvision air ambulance surprise billing protections ⓘ
good faith estimate for uninsured and self-pay individuals ⓘ
patient-provider dispute resolution for uninsured and self-pay individuals ⓘ
country United States ⓘ
dateEnacted 2020-12-27 ⓘ
doesNotApplyTo Medicaid billing rules ⓘ
traditional Medicare billing rules ⓘ
effectiveDate 2022-01-01 ⓘ
enforcedBy Centers for Medicare & Medicaid Services ⓘ
state insurance regulators ⓘ
establishes independent dispute resolution process for payment disputes ⓘ
exempts short-term limited duration insurance ⓘ
stand-alone dental plans ⓘ
stand-alone vision plans ⓘ
implementedBy U.S. Department of Health and Human Services ⓘ
U.S. Department of Labor ⓘ
U.S. Department of the Treasury ⓘ
jurisdiction United States federal government ⓘ
partOf Consolidated Appropriations Act, 2021 ⓘ
prohibits balance billing for certain non-emergency services at in-network facilities ⓘ
balance billing for emergency services in many situations ⓘ
most surprise out-of-network bills for emergency services ⓘ
protects insured patients from surprise out-of-network bills at in-network facilities in many cases ⓘ
insured patients from surprise out-of-network emergency bills ⓘ
purpose increase price transparency in health care ⓘ
limit balance billing ⓘ
protect patients from unexpected out-of-network medical bills ⓘ
regulates air ambulance billing ⓘ
balance billing ⓘ
out-of-network billing practices ⓘ
requires advance notice and consent for certain out-of-network services ⓘ
disclosure of patient protections against surprise billing ⓘ
good faith estimates of charges for uninsured and self-pay patients ⓘ
provider-payer independent dispute resolution process ⓘ
scope commercial health insurance markets ⓘ
signedIntoLawBy Donald Trump ⓘ

How these facts were elicited

Referenced by (3)

Full triples — surface form annotated when it differs from this entity's canonical label.

Public Law 116-260 → hasPart → No Surprises Act ⓘ
CAA 2021 → containsTitle → No Surprises Act ⓘ