summary
Introduced
07/23/2025
07/23/2025
In Committee
07/23/2025
07/23/2025
Crossed Over
Passed
Dead
Introduced Session
119th Congress
Bill Summary
A BILL To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes.
AI Summary
This bill increases penalties and enforcement mechanisms for group health plans and health insurance issuers who violate balance billing requirements under the No Surprises Act. Specifically, the bill raises civil monetary penalties from $100 to $10,000 per day for violations related to certain provisions of balance billing protections. It also introduces a new penalty structure for late or non-payment after an independent dispute resolution (IDR) entity makes a payment determination, where the non-compliant party must pay three times the difference between the initial payment and the out-of-network rate, plus interest. Additionally, the bill mandates more frequent and detailed transparency reporting, requiring the Secretary of Health and Human Services to submit comprehensive six-month reports to congressional committees detailing audit findings, enforcement actions, complaints, civil monetary penalties, and the most common violations of balance billing regulations. These changes aim to strengthen enforcement of patient protections against unexpected medical bills and improve oversight of health insurance practices.
Committee Categories
Business and Industry
Sponsors (21)
Greg Murphy (R)*,
Herbert Conaway (D),
Suzan DelBene (D),
Neal Dunn (R),
Laura Friedman (D),
Andy Harris (R),
John Joyce (R),
Mike Lawler (R),
Nicole Malliotakis (R),
Blake Moore (R),
Nathaniel Moran (R),
Joe Morelle (D),
Robert Onder (R),
Jimmy Panetta (D),
Chris Pappas (D),
Raul Ruiz (D),
Kim Schrier (D),
Tom Suozzi (D),
Jeff Van Drew (R),
Beth Van Duyne (R),
Eugene Vindman (D),
Last Action
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. (on 07/23/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/119th-congress/house-bill/4710/all-info |
| BillText | https://www.congress.gov/119/bills/hr4710/BILLS-119hr4710ih.pdf |
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