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119-s-2420119th CongressWALLET

No Surprises Act Enforcement Act

Sponsored By: Senator Marshall, Roger [R-KS]

Introduced

Summary

Would strengthen enforcement of the No Surprises Act by raising civil penalties to up to $10,000 per violation. It would also create steep penalties for late or missing payments after independent dispute resolution and add regular reporting and audits to track enforcement.

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Higher fines for surprise billing

If enacted, federal agencies could fine plans, insurers, or providers up to $10,000 per person for certain surprise-billing violations. The change replaces much smaller penalties and adds the same $10,000 rule across health and tax law. These higher fines would apply to the listed balance-billing sections and would take effect upon enactment.

Late payment penalties after IDR

If enacted, IDR decisions would have strict payment rules and a new late-payment penalty. If an IDR amount is less than an insurer’s initial payment plus your cost sharing, the provider must repay the difference within 30 days. If payment is late, the delinquent party must pay three times the shortfall between the initial payment and the out-of-network rate, plus interest. Parties making repayments must notify the Secretary. These rules apply to emergency, non-emergency, and air-ambulance services and would take effect upon enactment.

Sponsors & CoSponsors

Sponsor

Marshall, Roger [R-KS]

KS • R

Cosponsors

  • Sen. Bennet, Michael F. [D-CO]

    CO • D

    Sponsored 7/23/2025

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov
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