Final regulations: Requirements related to “surprise” medical billing

Final rules under the “No Surprises Act”

Final rules under the “No Surprises Act”

The U.S. Treasury Department and IRS, along with the Labor Department and Department of Health and Human Services and agencies within their departments, today released for publication in the Federal Register final regulations related to the requirements addressing “surprise” billing for medical treatment or services.

The final regulations [PDF 619 KB] (38 pages as published in the Federal Register on August 26, 2022) includes final rules under the “No Surprises Act” (enacted as part of the Consolidated Appropriations Act, 2021).

The final regulations finalize:

  • Certain disclosure requirements relating to information that group health plans, and health insurance issuers offering group or individual health insurance coverage, must share about the qualifying payment amount (QPA) under the interim final rules issued in July 2021—read TaxNewsFlash
  • Select provisions under October 2021 interim final rules to address certain requirements related to consideration of information when a certified independent dispute resolution (IDR) entity makes a payment determination under the federal IDR process—read TaxNewsFlash

The final rules are effective August 26, 2022 (the date published in the Federal Register).

The purpose of this report is to provide text of the final regulations.


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