February 18, 2022
Lawsuit Updates: The Surprise Billing Act
Two lawsuits challenging an interim final rule implementing the independent arbitration process of the No Surprises Act are moving forward. In Texas, a federal court has advanced to oral arguments in the Texas Medical Association’s lawsuit. The suit alleges that the rule unfairly favors health insurers when directing arbiters to resolve payment disputes between insurers and physicians. A briefing is also underway in a joint lawsuit filed by The American Medical Association (AMA) and the American Hospital Association (AHA). The AMA/AHA lawsuit clarified that the organizations support the No Surprises Act but believe that CMS’ regulation does not align with the process established in that law and Congress’ intent. AHPA will keep you informed of any new updates in the cases.