# 119-s-2420: No Surprises Act Enforcement Act

119-s-2420, No Surprises Act Enforcement Act, is a 119th Congress bill sponsored by Sen. Marshall, Roger [R-KS] (R-KS); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-s-2420
- As of: 2025-12-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-2420
- Congress: 119
- Title: No Surprises Act Enforcement Act
- Status: introduced
- Introduced: 2025-07-23
- Sponsor: Sen. Marshall, Roger [R-KS] (R-KS)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2025-12-21

## 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.

## Cosponsors (1)

- Sen. Bennet, Michael F. [D-CO] (D-CO), 2025-07-23T00:00:00.000Z

## Provisions PRIA read

- Higher fines for surprise billing: benefit, high. 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 s…
- Late payment penalties after IDR: benefit, medium. 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 short…

## Related bills

- 119-s-1748: Kids Online Safety Act
- 119-s-1552: Living Donor Protection Act of 2025
- 119-s-410: Love Lives On Act of 2025
- 119-s-156: Increased TSP Access Act of 2025
- 119-s-963: Space National Guard Establishment Act of 2025
- 119-s-3302: Mikaela Naylon Give Kids a Chance Act of 2025

## Sources
- [119-s-2420 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/2420)

## Related
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-1552: Living Donor Protection Act of 2025](https://policyrisk.com/legislation/119-s-1552)
- [119-s-410: Love Lives On Act of 2025](https://policyrisk.com/legislation/119-s-410)
- [119-s-156: Increased TSP Access Act of 2025](https://policyrisk.com/legislation/119-s-156)
- [119-s-963: Space National Guard Establishment Act of 2025](https://policyrisk.com/legislation/119-s-963)
- [119-s-3302: Mikaela Naylon Give Kids a Chance Act of 2025](https://policyrisk.com/legislation/119-s-3302)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-2420 (as of 2025-12-21).