Saturday, October 9, 2021

2021 Consolidated Appropriations Act: No Surprises Act-Key Health Plan Provisions

The Consolidated Appropriations Act (CAA), signed into law on December 27th, 2020, includes many provisions affecting employers, group health plan sponsors, and health insurance issuers. The CAA contains guidance that focuses on health plan transparency requirements and contains the No Surprises Act, which is aimed at protecting health plan participants from surprise medical bills, which can occur when patients unexpectedly receive care from out-of-network (OON) providers. 

To help clarify the CAA’s compliance initiatives, we have created the below summary and chart which breaks down each No Surprises Act requirement and CAA transparency provisions. The chart provides an effective date for each requirement and lists questions plan sponsors should be asking of their insurance carrier or TPA to help ensure compliance with the CAA.