The No Surprises Act was passed at the end of 2020 as a part of the Consolidated Appropriations Act of 2021. Initially most experts believed that the No Surprises Act applied only to facility-based (such as hospital) providers; however, on the recent finalization of Part II of the rules, it became clearer that a specific portion applies to all health care providers.

One of the new No Surprises Act’s major goals is to ensure that patients do not receive health care bills that far exceed their awareness or expectations.  Although the most heralded portions of the law (usually pertaining to hospital services) do not apply to the vast majority of chiropractic physicians, another key provision pertaining to “good faith estimates” apply to nearly all chiropractic offices beginning on January 1, 2022.  Health and Human Services (HHS) issued rules, FAQs, and other information pertaining to the No Surprises Act throughout late 2021.

Members can access more information and a toolkit at

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