What is the No Surprises Act?

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he AMA and the American Hospital Association (AHA) support a Texas Medical Association (TMA) lawsuit challenging the Biden administration’s final rule implementing the independent-dispute resolution process created by Congress and contained in the No Surprises Act.

“Hospitals and doctors strongly believe that no patient should fear receiving a surprise medical bill and that patients should be kept out of the middle of any billing disputes between providers and commercial health insurance companies,” says a joint statement from the AMA and AHA. The organizations’ focus continues to be on ensuring that the independent dispute resolution process between health plans and physicians (or hospitals) outlined in the statute is implemented fairly by the Administration.

The two associations said they plan to file an amicus brief supporting the TMA lawsuit (PDF), which was filed in the U.S. District Court the Eastern District of Texas and names as plaintiffs the U.S. departments of Labor, Treasury, and Health and Human Services, along with the secretaries who lead each department.

The AMA and AHA also noted that the amicus brief will explain how the final rule departs from congressional intent—just as the September 2021 interim final rule did.

 

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