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: WSJ: Medical Billing Arbitration Paid Out $15 Billion to Providers in Surprise Bill Disputes
The Wall Street Journal previewed new CMS data that show $15 billion in independent dispute resolution (IDR) awards to out-of-network providers under the No Surprises Act’s federal arbitration process in 2025. The staggering amount — far exceeding the previous...
CASMB Calls on the Trump Administration to Curb Rampant Fraud, Waste, and Abuse Within the No Surprises Act’s Independent Dispute Resolution Process
In a new letter to the Secretaries of the Department of Health and Human Services, the Department of Labor, and the Department of the Treasury, the Coalition Against Surprise Medical Billing (CASMB) urged prompt action on the “systemic cost challenges” stemming from...
Why the NSA Enforcement Act Would Make a $5 Billion Cost Problem Worse
Bill would drive more IDR waste, fraud, and abuse harming consumers and employers The No Surprises Act is already protecting millions of Americans from surprise medical bills. While the core patient protections of the law are not at issue, a handful of private...