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HR4710FEDERALFederal Billin committee

No Surprises Act Enforcement Act introduced to strengthen medical billing oversight

Original title: No Surprises Act Enforcement Act

Last action · July 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.

Bill progressHistory & official text ↓
Introduced
Committee
Floor Vote
Passed
Law

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Public stanceCommunity reactions are separate from the official record and reporting.

What This Bill Would Do

This bill mandates new federal oversight actions to ensure compliance with the . It aims to hold healthcare providers and insurers accountable for surprise medical billing violations.

Why it matters

Patients are protected from unexpected medical bills through enhanced federal enforcement of billing transparency rules.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

healthcare providers

Providers are subject to the billing regulations and enforcement actions established by the No Surprises Act.

Directly affected

health insurance issuers

Insurers are required to comply with billing transparency and payment standards under the No Surprises Act.

Directly affected

patients

Patients are the intended beneficiaries of protections against surprise medical billing.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What is the No Surprises Act?
It is a federal law that protects patients from receiving unexpected medical bills for out-of-network services in emergency situations or at in-network facilities.
What does this new bill do?
It seeks to improve the enforcement of the existing , though specific enforcement mechanisms are not detailed in the current summary.

What else do you want to know?

News Coverage

Coverage by outlet perspective1 article
Center 1
Blind spot - only covered by center outlets
C

What to know about the Affordable Care Act's open enrollment period now underway

WPLG Local 10Nov 1, 2026

The Affordable Care Act open enrollment period begins Sunday in most states and runs through Jan. 15, bringing higher premiums, expiring financial assistance, and stricter enrollment rules for 2027. Healthcare experts predict average marketplace insurance prices will rise by 13%, driven by rising healthcare costs, hospital market concentration, and other factors. Additional regulatory changes will limit tax credits for certain lawfully present immigrants and implement stricter eligibility checks.

Bias ratings based on AllSides / Media Bias/Fact Check

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Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Last action
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.Jul 23, 2025

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

Cleveland Clinic Foundation

on behalf of The Cleveland Clinic Foundation

$150,000

2019

MEDICARE/MEDICAIDHEALTH ISSUES

“Medicare chronic care management fee Medicare payment for telehealth medicine CMS proposed cuts to Video EEG monitoring”

Senate LDAMatched on title words onlyView filing on LDA.gov →

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift80% confidence

Focus on Enforcement

The introduction of this bill suggests a legislative shift from establishing the No Surprises Act framework to strengthening its regulatory oversight.

No Surprises Act

Connected Entities

Committee on Education and Workforce, Energy and Commerce Committee, Ways and Means
OrganizationCommittee on Education and Workforce“Secondary committee of referral.”Map →
OrganizationEnergy and Commerce Committee“Primary committee of referral for the bill.”Map →
OrganizationWays and Means“Secondary committee of referral.”Map →

Sources

Open source document

www.congress.gov

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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