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Higher Penalties for Insurers Violating Surprise Medical Billing Protections.

This act significantly increases financial penalties for health plans and insurers that violate rules protecting patients from unexpected medical bills (balance billing). It introduces a triple penalty for delayed payments after a dispute resolution ruling, ensuring faster and more complete settlement of healthcare costs. The goal is to provide stronger financial protection for citizens accessing healthcare.
Key points
Penalties for insurers violating the ban on surprise medical bills increase from $100 to $10,000 per violation.
Introduction of an additional, triple financial penalty for health plans that delay or refuse payment after an official dispute resolution determination.
Increased transparency: The government must regularly report to Congress on audits, complaints received, and penalties imposed on insurers.
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Expired
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Additional Information
Print number: 118_HR_9572
Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
Process start date: 2024-09-12
Lustra uses Artificial Intelligence. Verify details in source documents.
Summarized by: gemini-2.5-flash-preview-09-2025
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Enhanced Enforcement of Health Coverage Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_HR_9572.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2024-09-12.

What are the main provisions?

Key points include:

  • Penalties for insurers violating the ban on surprise medical bills increase from $100 to $10,000 per violation.
  • Introduction of an additional, triple financial penalty for health plans that delay or refuse payment after an official dispute resolution determination.
  • Increased transparency: The government must regularly report to Congress on audits, complaints received, and penalties imposed on insurers.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Murphy, Gregory F. [R-NC-3].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-26.

CATEGORIES

Health