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: Mercer: “On the Hill, Employers Sound the Alarm on IDR”
Abuse of the No Surprises Act’s independent dispute resolution (IDR) process by certain private equity-backed providers and IDR firms continues to drive up premium costs for employers, unions, and workers. POLITICO recently reported that one national health insurer is...
ICYMI: New York Times Lays Out Why Arbitration Works for Baseball but Not for Healthcare
When Congress wrote the No Surprises Act, it borrowed its arbitration model from Major League Baseball. A new analysis from the New York Times lays out how that system has failed in healthcare. More than 2.5 million disputes went to arbitration last year, compared...
Niskanen Center: “New data, same problem: No Surprises Act arbitration abuse persists”
IDR abuse is accelerating. That's the takeaway from a new analysis by the Niskanen Center, which dug into CMS's latest data on the No Surprises Act's arbitration process, covering the second half of 2025. Disputes are up nearly 75% year-over-year, providers are still...