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
Employers, Health Plans Oppose Legislation to Make Arbitration More Costly for Consumers
While the No Surprises Act took a critical step in banning unfair, egregious surprise medical bills, certain private equity-backed providers continue to abuse and misuse the law’s arbitration process (also known as independent dispute resolution, or IDR) as a “back...
Four Provider Organizations Are Abusing and Misusing Arbitration. Employers, Patients, and Families are Paying the Price
Prior to the passage of the No Surprises Act, certain private equity-backed health care providers designed an entire business model around strategically exiting health plans’ networks as a way to maximize out-of-network reimbursements at the expense of patients,...
ICYMI: How Private Equity Is Gaming the No Surprises Act
Researchers at Georgetown University’s Center on Health Insurance Reform recently analyzed new data from the Centers for Medicare & Medicaid Services (CMS) detailing arbitration outcomes from all of 2023 under the No Surprises Act. While the law has been effective...