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: Private Equity-Backed Providers and Profit-Enhancing Middlemen Have Made Manipulating the IDR Process a Business Model
Certain health care providers—particularly large, private equity-backed groups—are increasingly dominating the federal Independent Dispute Resolution (IDR) process established under the No Surprises Act, according to new data from the Centers for Medicare &...
CASMB Urges the Trump Administration to Fix Costly Arbitration Process That Threatens to Undermine No Surprises Act
WASHINGTON, DC – Unnecessary and wasteful costs from the federal arbitration process continue to add up for employers, unions and health plans as certain providers continue to overuse and likely misuse the system, according to a new letter to the Trump-Vance...
Surprise, Surprise – Some Providers Are Still Surprise Billing Patients Despite Federal Ban
New data from the Center for Medicare & Medicaid Services (CMS) on implementation of the No Surprises Act (NSA) found that some providers are still attempting to balance bill patients and continue to submit ineligible, incomplete, or incorrect claims to the...