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A PETITION FROM AMERICA’S PHYSICIANS & CLINICIANS TO CONGRESS
Enforce theNo Surprises Act
Congress passed the No Surprises Act in 2020 to protect patients from surprise bills and ensure appropriate payment by Big Insurance for medical care.
Since then, Big Insurance has been working to undermine this landmark legislation by terminating contracts, slashing reimbursement, and putting patient access at risk. As a result, it’s crucial for Congress to advance the No Surprises Act Enforcement Act (H.R. 4710/S.2420) as introduced – WITHOUT the changes Big Insurance wants for even bigger profits!
Big Insurance isundermining the NSA
OFFERED FOR COVERED CARE
$0.00
In more than 20,000 disputes sent to federal arbitration, Big Insurance tried to pay physicians absolutely nothing for covered medical care.
OFFERED FOR CRITICAL IMAGING
$0.10
Big Insurance has tried to pay less than one dime for MRI and CT scans of the brain, head, and cervical spine — the imaging that drives diagnosis.
OFFERED FOR LIFESAVING ER CARE
<$1.00
Big Insurance has tried to pay less than one dollar for emergency care that saves lives, including treatment of heart attacks and strokes.
Big insurance companies have not been held accountable for paying what they owe. My bill cracks down on those that are willfully defying the law and doubles down on protecting patients.
HOW H.R. 4710 / S.2420 STRENGTHENS THE ACT
PAYMENT
Puts real teeth in arbitration rulings
Authorises penalties for any party that fails to comply with payment timelines after a final, binding arbitration decision.
ENFORCEMENT
Gives regulators real authority to act
Grants federal regulators explicit authority to enforce IDR rulings, closing the gap that lets a plan ignore a decision with no consequence.
PENALTIES
Raises the cost of non-compliance
Increases civil monetary penalties for Big Insurance and group health plans that violate balance-billing requirements.
TRANSPARENCY
Forces regular public reporting
Requires regulators to report every six months on enforcement actions, penalties issued, and the most common violations.
Caught red-handed.
Big Insurance's conduct is well documented — and not by us. Reporters, courts and regulators keep turning up the same pattern: record profits built on denied claims and underpaid care, verdicts and settlements for shortchanging patients and employers, and tax maneuvers that leave everyone else covering the difference. We feature that coverage here, and keep it current.
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THE PETITION
Take action on the No Surprises Act Enforcement Act.
H.R. 4710 / S.2420
Advance the No Surprises Act Enforcement Act (H.R. 4710/S.2420) As Introduced WITHOUT Big Insurance Poison Pills.
As physicians and clinicians who care for patients across every state and specialty, we strongly support the No Surprises Act’s promise. The bill was passed to ensure patients are protected from surprise bills and to resolve disputes between physicians and Big Insurance through a neutral, binding arbitration process.
Unfortunately, those safeguards are under attack. Big Insurance is systematically terminating contracts, slashing rates, and putting patient access at risk. It frequently tries to pay less than one dollar for complex, life-saving medical care. It is also undermining the Independent Dispute Resolution process Congress created — paying late, paying short, and in some cases not paying at all — all in defiance of the law.
We therefore call on Congress to advance H.R. 4710 / S.2420 and to schedule it for a vote, so that Big Insurance can no longer default or delay without consequence.
The No Surprises Act needs to work the way Congress intended — for patients as well as the physicians and clinicians on whom they depend.
Signed, the undersigned physicians and clinicians of the United States.
Add your signature.
Open to licensed physicians and advanced practice clinicians in every state and specialty.