Skip to content
Govbase
Govbase
Congress·In Committee·H.R. 4710

Congress Proposes $10,000 Fines for Insurance Companies That Violate Surprise Billing Protections

No Surprises Act Enforcement Act

8 months ago·View on Congress.gov
⏸

Stalled

No legislative action in over 90 days.

Legislative Progress

House
Senate
President
Law

Key Points

  • This bill increases the fines that health insurance companies must pay if they break laws protecting patients from surprise medical bills. Currently, companies might only pay $100 a day for certain mistakes, but this plan would raise that to $10,000 for every single violation.
  • It targets 'balance billing,' which happens when a patient gets an unexpected bill from an out-of-network doctor even though they went to an in-network hospital. The goal is to make sure insurance companies follow the federal rules that protect patients from these high costs.
  • If an insurance company and a doctor have a dispute over a bill that goes to a neutral tie-breaker, the loser must pay within 30 days. If they fail to pay on time, they would be forced to pay three times the original amount owed, plus interest.
  • The bill requires the government to track and report these violations more closely. Every six months, officials would have to tell Congress how many audits they performed, how many complaints they received from patients, and which companies were fined.
  • By making the penalties much more expensive, the bill aims to stop insurance companies from ignoring the law or delaying payments to doctors. This is intended to ensure that the existing protections for patients are actually enforced.
Healthcare

Impact Analysis

Personal Impact

Scores: 1 = low, 5 = highSentiment: -5 to +5 (net benefit)

Milestones

2 milestones2 actions
Jul 23, 2025House

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.

Jul 23, 2025

Introduced in House

Related Bills

1 bill
S. 2420Related bill

No Surprises Act Enforcement Act

Jul 23 — Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Source Information

Document Type

Congressional Bill

Official Title

No Surprises Act Enforcement Act

Bill NumberHR 4710
Congress119th Congress
ChamberHouse of Representatives
Latest ActionReferred 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.

Sponsor

Cosponsors

(20)
D: 10R: 10

Analysis generated by AI. Always verify with official sources.