Blog Logo
Blog Logo

Michael A. Cassidy


Contact information

View All News & Insights

CMS Halts “No Surprises Act” Arbitration Due to Unplanned Outage

CMS has halted the arbitration process for “Surprise Billing” established by the “No Surprises Act” for the second time, stating as follows:


“On August 3, 2023, the U.S. District Court for the Eastern District of Texas issued a judgment and order in Texas Medical Association, et al. v. United States Department of Health and Human Services, Case No. 6:23-cv-59-JDK (TMA IV), vacating certain portions of 45 C.F.R. § 149.510, 26 C.F.R. § 54.9816-8T, and 29 C.F.R. § 2590-716-8.  As a result of the TMA IV decision, effective immediately, the Departments have temporarily suspended the Federal IDR process, including the ability to initiate new disputes until the Departments can provide additional instructions.”

The Federal arbitration process for handling out-of-network medical bill disputes has not been operating smoothly or timely. The primary reason for this is that CMS has received more than 300,000 disputes during the first year of the arbitration process, which is almost 14 times what had been estimated during the rulemaking process. For more information with respect to the problems of surprise medical billing, log into the website of the “Coalition Against Surprise Medical Billing” here.

For more information, contact Michael Cassidy at or call 412-594-5515.

August 10, 2023

Serving our clients successfully since 1900

The same attributes that have anchored over a century of success are still our guiding principles today.

Stay up-to-date on the latest News & Insights by subscribing to our alerts

Enter your email address below and be notified when we post new information.