Snapshot of the No Surprises Act: Its Application and the Arbitration Process

By Nina Youngstrom

Here’s a quick look at key provisions of the No Surprises Act, which limits patient liability for services performed by providers that are not in the patient’s health plan (see story, p. 1).[1] This was created by the law firm King & Spalding. Contact attorney John Barnes at jbarnes@kslaw.com.

Applicable Services

Emergency Services

Nonemergency Services

Nonparticipating Facility

Participating Facility

Nonparticipating Facility

Nonparticipating Provider

Nonparticipating Provider

Nonparticipating Provider

Act Applies

Act Applies

Act does not apply

Independent Dispute Resolution Process
 
1 Nina Youngstrom, “No Surprises Act Limits Out-of-Network Charges; Exception Requires Compliance Oversight,” Report on Medicare Compliance 30, no. 2 (January 18, 2021).


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