EDPMA fully supports the No Surprises Act and its patient protections.

We believe keeping patients out of the middle of payment disputes for out-of-network care is the right thing to do.  We also believe in the balanced framework the law provided after years of discussion, debate, and bipartisan cooperation.

However, the regulations that were written to implement the law substantially altered the balances carefully crafted by Congress. Thus, these new imbalances are significant, are inconsistent with the law, and most importantly, the health care system is now threatened by the results. Compounded by health care workforce constraints, inflation, and a Medicare fee schedule that has not kept pace with inflation, the activities of commercial health insurers based on the No Surprises Act (NSA) are impacting the ability of medical practices to provide timely patient care.

Since 2021, EDPMA and others have consistently identified and offered solutions to fix the flawed implementation of the No Surprises. These practical and reasonable solutions not only fix the NSA, but also preserve patient access to timely care.