The Solution
The No Surprises Act has already made a major difference—preventing more than one million surprise bills each month from health care facilities, providers, and air ambulances. But this progress is at risk. Ongoing lawsuits and loopholes have opened the door for some providers and middlemen to exploit the system, driving up costs and undermining the law’s intent. To preserve the full benefits of the No Surprises Act, policymakers must keep patients at the center—maintaining strong protections, ensuring a fair and transparent process, and closing gaps that allow bad actors to abuse the system. By doing so, we can lower health care costs and uphold the law’s promise of affordability and security for patients and families.
To view the Coalition’s principles, click here.

Latest News
Is the No Surprises Act Working? 99% of the Time, Yes.
Surprise bills can be expensive, and usually occur when a patient unknowingly receives care from an out-of-network provider, even if they’re at an in-network facility. Thankfully, bipartisan members of Congress passed the No Surprises Act in 2020 to tamp down on this...
CASMB Statement on the TMA II Ruling
Washington, D.C. – The Coalition Against Surprise Medical Billing issued the following statement in response to the decision rendered in the Texas Medical Association v. United States Department of Health and Human Services case challenging provisions of the final...
CASMB Statement on 4th Texas Medical Association Lawsuit
Washington, D.C. – The Coalition Against Surprise Medical Billing issued the following statement in response to the latest January 30, 2023, lawsuit filed by the Texas Medical Association challenging portions of the final rule implementing the No Surprises Act: “The...