Newsletters

03.22.23

New Guidance Instructs IDR Entities to Resume All Payment Determinations Under No Surprises Act

As of March 17, certified independent dispute resolution entities may resume IDR payment determinations under the No Surprises Act that were temporarily halted last month due to a Texas court’s decision vacating portions of the final federal regulations implementing the IDR process.


03.14.23

Biden Administration Seeks $500M to Implement and Enforce No Surprises Act and Mental Health Parity

President Biden’s proposed 2024 budget includes substantial additional amounts for continued funding of the implementation and enforcement of the No Surprises Act and the transparency laws passed along with the NSA.


02.28.23

New Guidance Instructs IDR Entities to Move Forward With Some Payment Disputes While Holding Others

The Department of Health and Human Services, the Department of Labor and the Department of the Treasury are continuing to respond to decisions by a federal district court in Texas regarding the Independent Dispute Resolution process established to implement the No Surprises Act.


02.14.23

Texas Court Sides With Providers a Second Time in Litigation Related to No Surprises Act IDR Process

On February 6, a Texas federal district court sided with the Texas Medical Association and health care providers vacating regulations issued by the Office of Personnel Management and the Departments of Health and Human Services, Labor, and the Treasury to implement the No Surprises Act.


11.29.22

Challenges to the Final August 2022 No Surprises Act Independent Dispute Resolution Rule

Controversy continues to surround the independent dispute resolution (IDR) provisions of the No Surprises Act.


11.15.22

What Creditors and Medical Services Providers Need to Know About D.C.’s Amended Debt Collection Law

Creditors and medical services providers should reevaluate their consumer credit agreements and collection practices in light of a recent amendment to Washington, D.C.’s debt collection law, which goes into effect on January 1, 2023.


09.07.22

No Surprises Act Final Rule Addresses Dispute Resolution Provisions Invalidated by District Court

On August 19, the Biden Administration released a final rule on the No Surprises Act that primarily addresses regulatory provisions invalidated by the United States District Court for the Eastern District of Texas regarding how reimbursement amounts for out-of-network providers will be calculated ...


03.09.22

Texas Federal Court Strikes Down No Surprises Act IDR Standard

On February 23, the federal District Court in the Eastern District of Texas struck down key provisions of regulations issued by the federal Departments of Health and Human Services, Labor, and the Treasury and the federal Office of Personnel Management to implement the No Surprises Act.


02.16.22

CMS Publishes Letters on No Surprises Act Enforcement in States

The federal Centers for Medicare & Medicaid Services has begun publishing on its website letters that it sent to states beginning in December 2021 that provide important information regarding the manner in which the surprise medical billing and health care price transparency provisions will be ...


01.26.22

Federal Regulators Issue Joint Report on MHPAEA Signaling Increased Enforcement Against Plans Likely

On Tuesday, the U.S. Departments of Labor, Health & Human Services, and the Treasury issued their joint report to Congress on the Mental Health Parity and Addiction Equity Act.