No Surprises Act
Federal42 U.S.C. § 300gg-111 (No Surprises Act)
Federal law (effective January 1, 2022) prohibits surprise out-of-network bills for emergency services, air ambulance services, and most non-emergency services at in-network facilities. Patients owe no more than the in-network cost-share. Providers and insurers must resolve payment disputes through Independent Dispute Resolution, not by billing the patient.
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