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No Surprises Act Implementation Handbook
The No Surprises Act established new patient protections against balance billing in certain circumstances, as well as put into place a number of other provisions that will change how providers and health plans engage with patients and each other with respect to price and coverage transparency, as well as billing. The following implementation guide is intended to help hospitals and health systems understand the new provisions in the law and corresponding regulations.
Surprise Billing
The No Surprises Act addresses surprise medical billing at the federal level. Most sections of the legislation go into effect on Jan. 1, 2022, and the Departments of Health and Human Services, Treasury, and Labor are tasked with issuing regulations and guidance to implement a number of the provisions.
Fact Sheet: No Surprises Act Rural Impact
The House Energy and Commerce Committee in July passed legislation, The No Surprises Act (H.R. 2328), to prevent surprise medical bills.
Surprise Billing Principles
America’s hospitals and health systems are committed to protecting patients from “surprise bills” and support a federal legislative solution to do so. These types of bills may occur when a patient receives care from an out-of-network provider or when their health plan fails to pay for covered services.
Webinar: Implementing Regulations on Surprise Medical Billing: Part 3
A review the recently released interim final regulations implementing certain provisions of the No Surprises Act.
Fact Sheet: Surprise Billing Legislation
The Senate and House are both considering legislation to address surprise medical bills that patients may incur as a result of unexpected gaps in insurance coverage or medical emergencies. Below are brief summaries of the proposals under consideration. A
Fact Sheet: Surprise Medical Billing Legislation Rural Impact
AHA Ask: AHA supports protecting patients from surprise medical bills. Policymakers should focus on assisting rural hospitals in their negotiations with payers and providing the incentives and resources needed to maintain local access to care and not undermine these communities with potentially harmful national policy changes.
AHA Senate Statement on What Can Congress Do to End the Medical Debt Crisis in America
Statementof theAmerican Hospital Associationfor the
Fact Sheets and Talking Points on Surprise Billing Legislation
This is a collection of Fact Sheets and Talking Points documents that the AHA has released on Surprise Medical Billing Legislation.
Fact Sheet: Lower Health Care Costs Act (S.1895) Rural Impact
The Senate Health, Education, Labor and Pensions Committee June 19 introduced the Lower Health Care Costs Act (S.1895), legislation to prevent surprise medical bills, reduce prescription drug prices, improve transparency in health care, invest in public health and improve health information exchange.