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No Surprises Act

Tue, December 28, 2021 11:34 AM | SVC-CAMFT Administrator (Administrator)

Beginning January 1, 2022, the No Surprises Act (H.R. 133) will go into effect. The law includes new requirements for health care providers, facilities, health plans and insurers which are intended to prevent consumers (a.k.a. patients) from receiving unanticipated medical bills. The No Surprises Act resulted in changes to the Public Health Service Act1 that also apply to health care providers and facilities.  In anticipation of the new laws, the federal government recently published the accompanying regulations or rules for compliance.  Part 1 of the subsequent regulations protects consumers with health plan coverage from surprise bills from out-of-network MFT providers under limited circumstances related to emergency and non-emergency services at in-network facilities. This portion of the no surprise billing regulations published in July of 2021 will have only minimal impacts on MFTs and is discussed in the last half of this article.

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