# 119-hr-4710: No Surprises Act Enforcement Act

119-hr-4710, No Surprises Act Enforcement Act, is a 119th Congress bill sponsored by Rep. Murphy, Gregory F. [R-NC-3] (R-NC); status introduced; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-4710
- As of: 2026-09-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4710
- Congress: 119
- Title: No Surprises Act Enforcement Act
- Status: introduced
- Introduced: 2025-07-23
- Sponsor: Rep. Murphy, Gregory F. [R-NC-3] (R-NC)
- Cosponsors: 38
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## Summary

**Would strengthen enforcement of the No Surprises Act by imposing stiffer penalties and faster payment rules to stop illegal balance billing.** It pairs new $10,000 per-failure fines with triple penalties and interest when required payments from independent dispute resolution are late or unpaid, and it creates regular audit reporting to Congress. - Families and patients would get firmer protection when bills go out of network. IDR-determined payments must be settled within 30 days and missed payments can trigger a penalty equal to three times the unpaid difference plus interest. - Nonparticipating providers and facilities would face tougher financial exposure. Covered violations could carry a new $10,000 penalty per failure and penalties apply per affected item or service if IDR payments are not made. - Health plans, issuers, and employers would see matching penalty authority added across the Public Health Service Act, ERISA, and the tax code and would fall under enhanced transparency rules that require reports to Congress every 6 months on audits, complaints, enforcement actions, and total penalties.

## Cosponsors (38)

- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2025-07-23T00:00:00.000Z
- Rep. Joyce, John [R-PA-13] (R-PA), 2025-07-23T00:00:00.000Z
- Rep. Schrier, Kim [D-WA-8] (D-WA), 2025-07-23T00:00:00.000Z
- Rep. Onder, Robert F. [R-MO-3] (R-MO), 2025-07-23T00:00:00.000Z
- Rep. Ruiz, Raul [D-CA-25] (D-CA), 2025-07-23T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-07-29T00:00:00.000Z
- Rep. Van Duyne, Beth [R-TX-24] (R-TX), 2025-10-03T00:00:00.000Z
- Rep. Harris, Andy [R-MD-1] (R-MD), 2025-10-28T00:00:00.000Z
- Rep. Morelle, Joseph D. [D-NY-25] (D-NY), 2025-10-31T00:00:00.000Z
- Rep. Suozzi, Thomas R. [D-NY-3] (D-NY), 2025-11-04T00:00:00.000Z
- Rep. Conaway, Herbert C. [D-NJ-3] (D-NJ), 2025-11-07T00:00:00.000Z
- Rep. Moran, Nathaniel [R-TX-1] (R-TX), 2025-12-16T00:00:00.000Z
- Rep. Lawler, Michael [R-NY-17] (R-NY), 2026-01-08T00:00:00.000Z
- Rep. Dunn, Neal P. [R-FL-2] (R-FL), 2026-01-14T00:00:00.000Z
- Rep. Pappas, Chris [D-NH-1] (D-NH), 2026-02-10T00:00:00.000Z
- Rep. Friedman, Laura [D-CA-30] (D-CA), 2026-02-10T00:00:00.000Z
- Rep. Moore, Blake D. [R-UT-1] (R-UT), 2026-02-10T00:00:00.000Z
- Rep. Malliotakis, Nicole [R-NY-11] (R-NY), 2026-02-10T00:00:00.000Z
- Rep. Van Drew, Jefferson [R-NJ-2] (R-NJ), 2026-02-10T00:00:00.000Z
- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2026-02-24T00:00:00.000Z
- Rep. Krishnamoorthi, Raja [D-IL-8] (D-IL), 2026-03-16T00:00:00.000Z
- Rep. Bilirakis, Gus M. [R-FL-12] (R-FL), 2026-04-09T00:00:00.000Z
- Rep. Kennedy, Mike [R-UT-3] (R-UT), 2026-04-15T00:00:00.000Z
- Rep. LaLota, Nick [R-NY-1] (R-NY), 2026-04-22T00:00:00.000Z
- Rep. Johnson, Julie [D-TX-32] (D-TX), 2026-04-27T00:00:00.000Z
- Rep. Soto, Darren [D-FL-9] (D-FL), 2026-04-29T00:00:00.000Z
- Rep. Mace, Nancy [R-SC-1] (R-SC), 2026-05-07T00:00:00.000Z
- Rep. Wilson, Joe [R-SC-2] (R-SC), 2026-05-07T00:00:00.000Z
- Rep. McGuire, John J. [R-VA-5] (R-VA), 2026-05-19T00:00:00.000Z
- Rep. Scholten, Hillary J. [D-MI-3] (D-MI), 2026-05-20T00:00:00.000Z
- Rep. Beatty, Joyce [D-OH-3] (D-OH), 2026-05-21T00:00:00.000Z
- Rep. Rutherford, John H. [R-FL-5] (R-FL), 2026-06-03T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2026-06-03T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2026-06-03T00:00:00.000Z
- Rep. Miller, Carol D. [R-WV-1] (R-WV), 2026-06-10T00:00:00.000Z
- Rep. Alford, Mark [R-MO-4] (R-MO), 2026-06-18T00:00:00.000Z
- Rep. Jackson, Ronny [R-TX-13] (R-TX), 2026-08-31T00:00:00.000Z
- Rep. Bentz, Cliff [R-OR-2] (R-OR), 2026-09-17T00:00:00.000Z

## Provisions PRIA read

- 30-day payment deadline after IDR: benefit, high. If enacted, after an independent dispute decision, the party that owes money would have 30 days to pay and must notify the Secretary when it pays. If payment is late or not made, the delinquent plan or provider would owe the difference, plus a penalty equal to three times that difference, plus inte…
- Up to $10,000 fines for surprise billing: benefit, high. If enacted, regulators could fine group health plans and insurers up to $10,000 per person or per failure for certain No Surprises Act violations. The fines would apply to listed rules tied to out-of-network emergency care, air ambulance services, and related protections. ERISA, the Public Health S…

## Related bills

- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hr-4382: America’s Olympic and Paralympic Games Commemorative Coins Act
- 119-hr-1422: Enhanced Iran Sanctions Act of 2025
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-9250: Great American Outdoors Act 250

## Sources
- [119-hr-4710 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4710)

## Related
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-4382: America’s Olympic and Paralympic Games Commemorative Coins Act](https://policyrisk.com/legislation/119-hr-4382)
- [119-hr-1422: Enhanced Iran Sanctions Act of 2025](https://policyrisk.com/legislation/119-hr-1422)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-9250: Great American Outdoors Act 250](https://policyrisk.com/legislation/119-hr-9250)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4710 (as of 2026-09-21).