No Surprises Act Enforcement Act

Key Provisions

• Increases fines for health plans and insurers that break balance billing rules to $10,000 for each violation.
• Allows the Department of Labor to fine health plans and insurers up to $10,000 for each person affected by certain balance billing violations.
• Adds a new penalty for health plans, insurers, or providers that are late or don't pay after a billing dispute is settled, equal to three times the difference between the initial payment and the final out-of-network rate.
• Requires nonparticipating medical providers or facilities to pay back health plans within 30 days if a billing dispute decision means they were paid too much.
• Requires health plans, insurers, and providers to tell the government when they make payments after a billing dispute is settled.