[20220401]IN11906_《不足为奇法案》的独立争议解决程序和相关诉讼.pdf

CRS INSIGHT Prepared for Members and Committees of Congress INSIGHTINSIGHTi i No Surprises Acts Independent Dispute Resolution Process and Related Litigation April 1, 2022 On December 27, 2020, the No Surprises Act (NSA), part of the Consolidated Appropriations Act, 2021 (P.L. 116-260), was enacted to address surprise billing (i.e., circumstances where individuals receive large, unexpected medical bills when they are unknowingly, and potentially unavoidably, treated by out-of-network providers). Surprise billing is rooted in most private insurers use of provider networks, which generally results in consumers paying more for out-of-network care (relative to the same in-network care). The NSA established federal surprise billing requirements with respect to out-of-network emergency services, out-of-network nonemergency services provided during a visit at an in-network facility, and out-of-network air ambulance services. In these situations and for plan years beginning on or after January 1, 2022, the NSA generally limits the amount consumers pay for care and specifies a methodology used to determine how much insurers must pay providers for care, including the use of an independent di