No Surprises Act Enforcement Act
Sponsored By: Representative Murphy, Gregory F. [R-NC-3]
Introduced
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.
Show full summary
- 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.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
30-day payment deadline after IDR
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 interest. The difference uses the plan’s initial payment (or $0 if denied) and the out-of-network rate after your cost sharing. These rules would apply to emergency, nonemergency, and air ambulance bills.
Up to $10,000 fines for surprise billing
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 Service Act, and the tax code would each be updated to allow these fines. For other noncompliance, existing $100-per-day penalties would continue to apply.
Sponsors & CoSponsors
Sponsor
Murphy, Gregory F. [R-NC-3]
NC • R
Cosponsors
Rep. Panetta, Jimmy [D-CA-19]
CA • D
Sponsored 7/23/2025
Joyce (PA)
PA • R
Sponsored 7/23/2025
Schrier
WA • D
Sponsored 7/23/2025
Onder
MO • R
Sponsored 7/23/2025
Rep. Ruiz, Raul [D-CA-25]
CA • D
Sponsored 7/23/2025
Rep. Vindman, Eugene Simon [D-VA-7]
VA • D
Sponsored 7/29/2025
Van Duyne
TX • R
Sponsored 10/3/2025
Rep. Harris, Andy [R-MD-1]
MD • R
Sponsored 10/28/2025
Rep. Morelle, Joseph D. [D-NY-25]
NY • D
Sponsored 10/31/2025
Rep. Suozzi, Thomas R. [D-NY-3]
NY • D
Sponsored 11/4/2025
Conaway
NJ • D
Sponsored 11/7/2025
Rep. Moran, Nathaniel [R-TX-1]
TX • R
Sponsored 12/16/2025
Rep. Lawler, Michael [R-NY-17]
NY • R
Sponsored 1/8/2026
Rep. Dunn, Neal P. [R-FL-2]
FL • R
Sponsored 1/14/2026
Rep. Pappas, Chris [D-NH-1]
NH • D
Sponsored 2/10/2026
Friedman
CA • D
Sponsored 2/10/2026
Rep. Moore, Blake D. [R-UT-1]
UT • R
Sponsored 2/10/2026
Rep. Malliotakis, Nicole [R-NY-11]
NY • R
Sponsored 2/10/2026
Van Drew
NJ • R
Sponsored 2/10/2026
DelBene
WA • D
Sponsored 2/24/2026
Rep. Krishnamoorthi, Raja [D-IL-8]
IL • D
Sponsored 3/16/2026
Bilirakis
FL • R
Sponsored 4/9/2026
Rep. Kennedy, Mike [R-UT-3]
UT • R
Sponsored 4/15/2026
LaLota
NY • R
Sponsored 4/22/2026
Rep. Johnson, Julie [D-TX-32]
TX • D
Sponsored 4/27/2026
Soto
FL • D
Sponsored 4/29/2026
Rep. Mace, Nancy [R-SC-1]
SC • R
Sponsored 5/7/2026
Rep. Wilson, Joe [R-SC-2]
SC • R
Sponsored 5/7/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov