The No Surprises Act Enforcement Act strengthens protections against surprise medical bills by significantly increasing penalties on health plans, insurers, and out-of-network providers that violate balance billing rules. The bill raises penalties from $100 to $10,000 per violation and requires out-of-network providers to repay health plans within 30 days when dispute resolution decides they charged too much, with triple penalties plus interest for late payment. Health plans and providers must also pay claims within 30 days or face penalties of three times the underpayment amount plus interest. To ensure enforcement is working, the bill requires detailed transparency reports to Congress every six months covering audits, complaints, enforcement actions, penalties issued, and common violation patterns. These changes aim to give consumers real protection from unexpected medical bills while holding the healthcare industry accountable.
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