WHAT: In 2020, Congress passed the No Surprises Act (NSA), a new law that protects patients from surprise medical bills and requires health plans and providers to make prices more transparent to the general public.
IN BRIEF: Insured patients may not be asked to pay more than they do for their health plan’s in-network providers for emergency services and many non-emergency services. Even if the clinicians that provided treatment do not contract with an insured’s health plan, they may not send a medical bill to a patient for any amount beyond the patient’s expected out-of-pocket expenses. Multiple new processes are required of plans and providers to allow patients to know how much services will cost before treatment is provided.
WHEN: Effective January 1, 2022.