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Increased Penalties for Surprise Medical Bills and Payment Delays

This act increases financial penalties for health insurance companies and health plans that violate rules against surprise medical bills. It also introduces new penalties for late payments after an independent arbiter determines the final amount. The goal is to better protect citizens from high, unexpected medical costs and ensure faster settlements.
Key points
Increased penalties up to $10,000 for each violation of surprise billing rules by insurers and health plans.
New penalties, three times the difference between initial and final payment, for late payments after arbitration decisions, applicable to both insurers and healthcare providers.
Mandatory regular government reporting on audits, complaints, and penalties imposed, increasing transparency of insurer actions.
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Introduced
Citizen Poll
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Additional Information
Print number: 119_HR_4710
Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
Process start date: 2025-07-23