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
ICYMI: A Tale of Two States – Surprise Billing Laws in California and New York Led to Dramatically Different Costs for Patients
A recent study published in Health Affairs compared policies in New York, where out-of-network bills have increased by 24% because existing state law allows the arbitration process to rely on billed charges (billing charges increased from assistant surgeons and...
ICYMI: Kaiser Health News Highlights the Downsides of Private Equity Investments in Health Care
A recent article from Kaiser Health News highlights how investments from private equity firms can destabilize the American health care system. In one example, a small hospital system in Missouri was struggling to stay open, and the backing of Noble Health, a private...
CASMB Statement on New TMA Lawsuit
Washington, D.C. – The Coalition Against Surprise Medical Billing issued the following statement in response to the latest September 22, 2022, lawsuit filed by the Texas Medical Association challenging portions of the final rule issued on the No Surprises Act: “We are...