A Republican bill with 17 Democratic cosponsors · See all 38 cosponsors
Last activity — Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
This bill, titled the "No Surprises Act Enforcement Act," aims to increase penalties for group health plans and health insurance issuers that violate balance billing requirements. It amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986. The legislation introduces higher fines for specific failures regarding balance billing provisions. Additionally, it establishes penalties for the late payment or non-payment of required amounts following an IDR entity payment determination. Finally, the bill mandates new transparency reporting requirements to keep Congress informed about audits and enforcement actions.
Yes· 3 of 6
- Scored +7
Does this give people more protection from unfair business practices?
The bill strengthens protections against unexpected medical costs by increasing penalties for balance billing violations.
- Scored +6
Does this make what the government does easier for the public to see?
The bill mandates new, regular reporting requirements to Congress regarding audits and enforcement actions.
- Scored +5
Does this give the federal government more power?
The bill expands the Secretary's authority to assess civil penalties and oversee reporting.
The opposite
- Scored -4
Would business owners be better off under this?
Insurance issuers and health plans face significantly higher penalties and more regulatory scrutiny.
Who it would affect, and how
Potential Positive Impacts for People
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Increased penalties for balance billing violations: The bill increases penalties to $10,000 for certain failures regarding balance billing provisions (Section 2, subsections a, b, and c). This could provide stronger enforcement against practices that violate billing requirements.
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Penalties for late or non-payment of determined amounts: The bill creates a penalty that is three times the difference between the initial payment and the out-of-network rate for those that fail to make required payments within 30 days (Section 3, subsections a, b, and c). This is intended to ensure that payments following a determination are made in a timely manner.
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Enhanced transparency through reporting: The Secretary is required to submit reports to Congress every six months regarding the number of audits conducted, complaints submitted by providers or beneficiaries, and the total amount of civil monetary penalties issued (Section 4, subsections a and b). This provides oversight on how enforcement actions are being handled.
Potential Negative Impacts for People
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Financial penalties for health plans and issuers: The bill imposes significant civil penalties, including amounts up to $10,000 for each individual in the case of certain non-compliance (Section 2, subsection b).
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Increased costs due to late payment penalties: Plans, coverage, or providers that fail to make required payments within 30 days must pay an amount that is three times the difference between the initial payment and the out-of-network rate, plus interest (Section 3, subsections a, b, and c).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Governance And Ideology
- Does this make what the government does easier for the public to see? — The bill mandates new, regular reporting requirements to Congress regarding audits and enforcement actions. Does this give the federal government more power? — The bill expands the Secretary's authority to assess civil penalties and oversee reporting.
- Economy And Finance
- Does this give people more protection from unfair business practices? — The bill strengthens protections against unexpected medical costs by increasing penalties for balance billing violations.
- Demographic And Interest Groups
- Would households on low incomes be better off under this? — The bill helps prevent unexpected medical debt which disproportionately affects low-income families. Would middle-income households be better off under this? — Stronger enforcement of the No Surprises Act provides financial security against unexpected medical bills. Would business owners be better off under this? — Insurance issuers and health plans face significantly higher penalties and more regulatory scrutiny.
- Healthcare
- Does this make health care easier to get in general? — By enforcing the No Surprises Act, the bill protects patients from financial harm caused by unexpected out-of-network charges.
- 9/17/2026
- 1 Cosponsor added.
- 8/31/2026
- 1 Cosponsor added.
- 6/18/2026
- 1 Cosponsor added.
- 6/10/2026
- 1 Cosponsor added.
- 6/3/2026
- 3 Cosponsors added.
- 5/21/2026
- 1 Cosponsor added.
- 5/20/2026
- 1 Cosponsor added.
- 5/19/2026
- 1 Cosponsor added.
- 5/7/2026
- 2 Cosponsors added.
- 4/29/2026
- 1 Cosponsor added.
- 4/27/2026
- 1 Cosponsor added.
- 4/22/2026
- 1 Cosponsor added.
- 4/15/2026
- 1 Cosponsor added.
- 4/9/2026
- 1 Cosponsor added.
- 3/16/2026
- 1 Cosponsor added.
- 2/24/2026
- 1 Cosponsor added.
- 2/10/2026
- 5 Cosponsors added.
- 1/14/2026
- 1 Cosponsor added.
- 1/8/2026
- 1 Cosponsor added.
- 12/16/2025
- 1 Cosponsor added.
- 11/7/2025
- 1 Cosponsor added.
- 11/4/2025
- 1 Cosponsor added.
- 10/31/2025
- 1 Cosponsor added.
- 10/28/2025
- 1 Cosponsor added.
- 10/3/2025
- 1 Cosponsor added.
- 7/29/2025
- 1 Cosponsor added.
- 7/23/2025
- Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 5 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Mark AlfordRepublican · Missouri
Cliff BentzRepublican · Oregon
Gus BilirakisRepublican · Florida
Joyce BeattyDemocrat · Ohio
Herbert ConawayDemocrat · New Jersey
Suzan DelBeneDemocrat · Washington
Neal DunnRepublican · Florida
Laura FriedmanDemocrat · California
Josh GottheimerDemocrat · New Jersey
Andy HarrisRepublican · Maryland
John JoyceRepublican · Pennsylvania
Ronny JacksonRepublican · Texas
Julie JohnsonDemocrat · Texas
Raja KrishnamoorthiDemocrat · Illinois
Mike KennedyRepublican · Utah
Nick LaLotaRepublican · New York
Michael LawlerRepublican · New York
Nancy MaceRepublican · South Carolina
Nicole MalliotakisRepublican · New York
Carol MillerRepublican · West Virginia
Joseph MorelleDemocrat · New York
Blake MooreRepublican · Utah
Nathaniel MoranRepublican · Texas
John McGuireRepublican · Virginia
Robert OnderRepublican · Missouri
Jimmy PanettaDemocrat · California
Chris PappasDemocrat · New Hampshire
Raul RuizDemocrat · California
John RutherfordRepublican · Florida
Darren SotoDemocrat · Florida
Thomas SuozziDemocrat · New York
Kim SchrierDemocrat · Washington
Hillary ScholtenDemocrat · Michigan
Shri ThanedarDemocrat · Michigan
Jefferson Van DrewRepublican · New Jersey
Beth Van DuyneRepublican · Texas
Eugene VindmanDemocrat · Virginia
Joe WilsonRepublican · South Carolina