Regulatory Analysis , State Materials | Aug 26, 2022

SHVS Resource Page: The No Surprises Act

SHVS is tracking the latest federal guidance related to implementation and oversight of the No Surprises Act (NSA), the comprehensive federal law banning balance bills in emergency and certain non-emergency settings beginning January 1, 2022. The resources below highlight the latest SHVS resources for states on federal NSA guidance and summarizes its implications for state regulators.

SHVS also has an affinity group, Implementation of the No Surprises Act in States with Balance Billing Laws, that provides a forum for state officials to assess provisions of the federal rule that could impact existing state laws as well as areas where the federal agencies have requested comments from states and other stakeholders. Interested state officials can contact Becky Lopez ( to join the mailing list for the affinity group meetings and stay apprised of the latest resources and updates.


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