In enacting the No Surprises Act (NSA), Congress recognized that many states already passed (or will pass) state-level protections against surprise medical bills. The NSA thus defers to some state laws, but in other areas will preempt the state law unless the state conforms to the federal standard. A new fact sheet from CHIR experts summarizes our current understanding of this preemption framework and highlights considerations for state policymakers and federal regulators.

For more on state and federal protections against surprise out-of-network medical billing, visit our one-stop-shop website on balance billing issues.