Feb. 12, 2026

ACR® seeks member action in advocating for ACR-backed legislation, the No Surprises Act Enforcement Act (H.R. 4710/S. 2420). This bipartisan legislation was introduced to address challenges related to implementation of the No Surprises Act (NSA), legislation enacted in 2020 to protect patients from surprise medical bills. The NSA created an independent dispute resolution process (IDR) for physicians and insurers to resolve payment disputes, but some insurers fail to make timely payments following an IDR determination.

The bicameral No Surprises Act Enforcement Act was introduced by U.S. Reps Greg Murphy, MD (R-NC), Jimmy Panetta (D-CA), John Joyce, MD (R-PA), Kim Schrier, MD (D-WA), Bob Onder, MD (R-MO) and Raul Ruiz, MD (D-CA), and U.S. Sens. Roger Marshall, MD (R-KS) and Michael Bennet (D-CO). The legislation would financially penalize health insurance companies that fail to pay physicians within 30 days of the conclusion of the IDR process.

ACR members are encouraged to contact their members of Congress today and urge them to cosponsor these bills to ensure that the NSA is carried out as Congress intended and hold insurers accountable.

For more information, contact Ashley Walton, ACR Government Affairs Director.

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