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
How IDR Abuse Hits Americans’ Paychecks
While the No Surprises Act largely succeeded in preventing consumers from receiving surprise medical bills, rising costs — amounting to more than $22.4 billion — generated by misuse and abuse of the law’s independent dispute resolution (IDR) process are cutting into...
Even More Disputes, Even Higher Costs: The Latest IDR Warning Signs
After a new federal rule slashed the administrative fee for initiating IDR disputes by 87% — from $115 to just $15, nearly 400,000 disputes were initiated in July 2026 alone. This 24% jump in just one month is one of the latest signals that the IDR process has veered...
The Ripple Effect of Runaway Arbitration Awards: Fewer In-Network Docs, Higher Premiums
A new working paper from the National Bureau of Economic Research finds that the No Surprises Act’s arbitration process is incentivizing providers to go out-of-network and driving higher premiums. The economists estimate that the undue costs of the independent dispute...