The legislation limits patient out-of-pocket costs to the in-network amount for emergency medical care provided by out-of-network facilities and providers and in certain situations where care is delivered at an in-network facility by an out-of-network provider.
The agencies have been tasked by Congress to develop regulations to implement provisions within the legislation.
In the letter, CHA provides pre-regulatory comments and detailed suggestions related to:
- Implementation of the independent dispute resolution process
- Increasing the transparency of out-of-pocket cost and network participation information available to patients
- Developing a transparent, equitable, and flexible enforcement framework
CHA thanks members for their feedback, which helped inform comments. CHA looks forward to working with the Departments of Health and Human Services, Labor, and Treasury and health plans to develop and implement a regulatory framework that achieves the goals of the No Surprises Act.