State Data Can Guide On Federal 'No Surprises Act' Arbitration

By Alexandra Lucas and Christian Martin (May 17, 2021, 6:32 PM EDT) -- The No Surprises Act, passed in late 2020 as part of the Consolidated Appropriations Act of 2021, introduces surprise billing legislation at the federal level and will make sweeping changes to the health care industry in the years to come.

Beginning Jan. 1, 2022, patients will only be responsible for their in-network cost-share and will no longer be balanced-billed when they receive the following care from nonparticipating providers: (1) emergency services, (2) air ambulance transport and (3) services in a participating facility, unless the patient first gives informed consent.

In other words, a nonparticipating provider can no longer bill a patient...

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