CHA News

CMS Issues No Surprises Act Enforcement Provisions Proposed Rule

For CEOs, CFOs, government relations executives, finance & reimbursement staff, legal counsel

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On Sept. 10, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule detailing the enforcement provisions related to the No Surprises Act (NSA). The proposed rule: 

  • Expands CMS processes for determining whether a state is enforcing NSA requirements 
  • Creates a process for determining whether a provider, facility, or air ambulance provider is violating the NSA 
  • Defines the processes for imposing civil monetary penalties of up to $10,000 per violation 

The rule also proposes air ambulance reporting requirements and insurance broker compensation disclosure requirements as required by the NSA. CHA will release a summary of the proposed rule soon. Comments are due to CMS by Oct. 18.