The No Surprises Act, a $1.4 trillion year-end spending bill, was signed into law in late 2020 and will go into effect in January 2022. The law seeks to increase transparency regarding medical billing and patient cost-sharing responsibility. Surprise billing, more commonly known as out-of-network billing, is a serious concern for many insured Americans. According to a recent KFF poll, 1 in 3 insured adults between the ages of 18 and 64 received an unexpected medical bill in the last two years. Of those, 16 percent reported they received a “surprise” bill related to care received from an out-of-network provider.

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