No Surprises Act - Overview
Title I (No Surprises Act) and Title II (Transparency) of Division BB of the Consolidated Appropriations Act, 2021 (CAA), establish new protections for consumers related to surprise billing and transparency in health care. The legislation contains new requirements for group health plans, health insurance issuers in the group and individual markets, providers, facilities, and air ambulance providers. The Department of Health and Human Services (HHS), in coordination with the Department of Labor (DOL) and the Department of the Treasury (Treasury) (and to a lesser degree the Department of Transportation and other federal and external components), is responsible for implementation and, along with state regulatory entities, enforcement of these new requirements.
Ground Ambulance and Patient Billing FACA Committee
The No Surprises Act, enacted as part of the Consolidated Appropriations Act, 2021, requires the Secretary of Health and Human Services, the Secretary of Labor, and the Secretary of the Treasury (the Secretaries) to establish and convene an advisory committee for the purpose of reviewing options to improve the disclosure of charges and fees for ground ambulance services, better inform consumers of insurance options for such services, and protect consumers from balance billing. The Advisory Committee must submit a report that includes recommendations with respect to disclosure of charges and fees for ground ambulance services and insurance coverage, consumer protection and enforcement authorities of the Departments of Labor, Health and Human Services, and the Treasury and State authorities, and the prevention of balance billing to consumers. The report must be received no later than 180 days after the date of its first meeting.
The Charter for the Advisory Committee on Ground Ambulance and Patient Billing (GAPB) was signed by the HHS Secretary on November 16, 2021. On November 23, 2021, the Centers for Medicare & Medicaid Services (CMS) published a Federal Register Notice announcing the establishment of the Committee, and inviting interested persons to submit applications or nominations for membership on the Advisory Committee on Ground Ambulance and Patient Billing.
A Federal Register Notice was published on December 13, 2022 to announce the selection of GAPB Committee Members, and dates for the Committee’s first Meeting. Please see the “Committee Members” and “Meetings” sections below for more information.
- The Committee’s first meeting will be rescheduled.
- The Membership Roster was announced on 12/13/2022.
The GAPB Charter was signed on 11/16/2021.
- Asbel Montes – Committee Chairperson; Additional Representative determined necessary and appropriate by the Secretaries.
- Ali Khawar – Secretary of Labor’s Designee
- Thomas West – Secretary of Treasury’s Designee
- Rogelyn McLean – Secretary of Health and Human Services’ Designee
- Gamunu Wijetunge – Department of Transportation – National Highway Traffic Safety Administration
- Suzanne Prentiss – State Insurance Regulators
- Adam Beck – Health Insurance Providers
- Patricia Kelmar – Consumer Advocacy Groups
- Gary Wingrove – Patient Advocacy Groups
- Ayobami Ogunsola – State and Local Governments
- Ritu Sahni – Physicians specializing in emergency, trauma, cardiac, or stroke
- Peter Lawrence – State Emergency Medical Services Officials
- Shawn Baird – Emergency Medical Technicians, Paramedics, and Other Emergency Medical Services Personnel
- Edward Van Horne – Representative of Various Segments of the Ground Ambulance Industry
- Regina Godette-Crawford – Representative of Various Segments of the Ground Ambulance Industry
- Rhonda Holden – Representative of Various Segments of the Ground Ambulance Industry
- Loren Adler – Additional Representative determined necessary and appropriate by the Secretaries
- The 1st Meeting of the GAPB Advisory Committee will be rescheduled.
Materials for this meeting will be made available in the “Downloads” section.
A recording of the virtual meeting will be made available within 30 days after the meeting.