Becker's Payer Issues
Judge orders UnitedHealth to hand over documents in AI coverage denial case
March 11, 2026
A PETITION FROM AMERICA’S PHYSICIANS, CLINICIANS & HEALTHCARE COMMUNITY 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 Companiesare undermining 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
Authorizes 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 group health plans and Big Insurance 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 is counting on no one holding them accountable, but the evidence is plain to see. It's in court filings, regulatory findings, and the national press. Reporters have documented the ways Big Insurance denies claims by algorithm, pays physicians a fraction of what they're owed through opaque out-of-network pricing schemes, bills employers for “savings” that never reached them and most recently — allegations of tax avoidance — all while posting record profits.
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 the Congress to mark up H.R. 4710 / S.2420, and on Congressional leadership to schedule it for a vote, so that Big Insurance, when it defaults or delays, finally faces real enforcement.
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, clinicians and healthcare community of the United States.
Add your signature.
Open to licensed physicians, clinicians and the healthcare community.