Federal Policy
Pallone Bill Would Eliminate No Surprises Act Arbitration Process
Rep. Frank Pallone, D-N.J., introduced legislation last week that would eliminate the independent dispute resolution arbitration process created under the No Surprises Act. The bill reflects growing congressional interest in overhauling the consumer protection law, which governs billing disputes between providers and insurers for out-of-network emergency and certain facility-based care. No timeline for committee action or a vote has been reported. The move signals potential changes to how payment disputes are resolved between providers and commercial payers.
Why it mattersHealth plans and providers that rely on the current arbitration process to resolve out-of-network payment disputes would need to adapt to a new dispute resolution framework if the bill advances.