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Increased Penalties for Surprise Medical Bills and Payment Delays

This act increases penalties for health insurance companies and medical facilities that violate rules against surprise medical bills. It also introduces new penalties for late or non-payment after a final payment amount has been determined. This aims to protect citizens from unexpected high medical costs and ensure quicker resolution of billing disputes.
Key points
Higher financial penalties for insurers and medical facilities engaging in 'balance billing' practices.
New penalties for late or non-payment after an independent dispute resolution (IDR) entity determines the final payment amount.
Requirement for notification of payments made after IDR determination and interest on late payment penalties.
Increased transparency through more frequent reporting to Congress on audits and enforcement actions related to billing violations.
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Status:
Introduced
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Additional Information
No Surprises Act Enforcement Act
Print number: S 2420
Sponsor: Sen. Marshall, Roger [R-KS]
Process start date: 2025-07-23