When the No Surprises Act (NSA) went into effect in 2022, it ended balance billing for out-of-network emergencies and created an Independent Dispute Resolution (IDR) process to resolve payment disputes fairly – a milestone for patients.
But almost four years later, too many healthcare providers are still waiting to be paid.
Insurers lose IDR cases — and then simply don’t pay.
Without enforcement, insurers have little motivation to do so.
Hospitals and physician groups are absorbing losses that insurers are legally obligated to cover.
Some are waiting months — even years — for payment on awards that were supposed to arrive within 30 days.
That delay doesn’t just strain operations; it undermines the very intent of the law.
The No Surprises Enforcement Act gives the law the teeth it was meant to have.
These are common-sense measures to make sure federal arbitration decisions actually mean something — and that providers are paid what they’re due.
This bipartisan bill was introduced by six members of Congress — physicians and patient advocates who’ve seen the impact of nonpayment firsthand.
It has earned the support of the American College of Radiology, the American College of Emergency Physicians, EDPMA and the American Society of Anesthesiologists, among others committed to fair reimbursement.
Allia Group also supports the No Surprises Enforcement Act.
Every day, we see how delayed or unpaid IDR awards strain hospitals, physician groups, and emergency providers who have already done everything right. Our advocacy for this bill reflects what we know from direct experience: enforcement matters.
This bill represents a critical step towards restoring balance in the payer-provider relationship and ensuring the federal law works as intended.
Lawmakers need to hear directly from the people delivering care.
Contact your representatives and urge them to support the No Surprises Enforcement Act.
Your voice matters just as much as any lobbyist’s.
Here’s how to make it count: