No Surprises Act Enforcement Act

The No Surprises Act Enforcement Act increases penalties for health insurance plans and issuers that violate balance billing protections, raising civil penalties from $100 to $10,000 per violation for failing to comply with specific provisions that prevent surprise medical bills. The bill adds new penalties for late payment or non-payment after an Independent Dispute Resolution (IDR) determination, requiring plans to pay three times the difference between the initial payment and the out-of-network rate. It also establishes new transparency reporting requirements for the government to track audits, enforcement actions, and common violations related to the No Surprises Act. This legislation directly affects health insurance providers, out-of-network healthcare providers, and patients who receive medical services from nonparticipating providers.