Urge Lawmakers to Cosponsor Bill to Enforce No Surprises Act

This article was updated April 9, 2026, to emphasize the need for ACR members to contact their lawmakers.

ACR® needs member action to advance ACR-supported legislation, the No Surprises Act Enforcement Act (NSAEA, H.R. 4710 / S. 2420). The NSAEA 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 there are ongoing reports of delayed or withheld payments by health plans to physicians following an IDR determination.

The NSAEA would financially penalize health insurance companies that fail to pay physicians within 30 days of the conclusion of the IDR process. To advance this important legislation, more cosponsors are necessary.

ACR members are encouraged to contact their members of Congress now and urge them to cosponsor these bills to ensure that insurers are held accountable.

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