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. In 2023, EDPMA launched the NSA Implementation Tactical Task Force (I-Tact) to bring together diverse members to identify and provide practical solutions to not only fix the No Surprises Act, but to also preserve patient access to timely care. I-Tact’s Work Groups focuses on NSA compliance, IDR and IDRE compliance and legislative/regulatory fixes.

I-Tact in Action

Each I-Tact Work Group meets twice a month plus the I-Tact Standing Committee meets monthly.  I-Tact’s singular focus on fixing the No Surprises Act results in consistent actions aimed at regulators and Congressional leaders to protect patients and the practice of emergency medicine.

I-TACT Regulatory Timeline