CMS to Delay Enforcement of a Provision of the No Surprises Act

December 8, 2022

The Centers for Medicare and Medicaid Services (CMS) has announced it is delaying enforcement of a provision of the No Surprises Act set to begin on January 1, 2023.  

The No Surprises Act requires that self-paying and uninsured patients be given a good faith estimate of their medical costs, if requested. The good faith estimate requires that the patient be given an estimate of all applicable costs, including expected charges for any item or service that is reasonably expected to be provided in conjunction with the scheduled or requested item or service. The expected charges include those provided by co-providers or co-facilities. This most commonly occurs in multispecialty scenarios, such as surgical procedures where a surgeon schedules their own time as well as that of other providers who will be involved in the surgery. 

The enforcement of this requirement is being delayed until future rulemaking is issued to allow facilities more time to set up the necessary infrastructure to coordinate with all other facilities/providers when creating the required good faith estimate. 

See additional information from CMS here.

Latest News

Physician/Olympian to Give Inspirational Address at Empowering Physicians Event

August 20, 2026

A physician and Olympian will give an inspirational address as part of this year's Empowering Physicians event on Friday, September 25, at the Minneapolis Institute of Art.

Minnesota Vaccination Rates Trending in Wrong Direction

August 20, 2026

Minnesota received some disturbing news this week from the Centers for Disease Control and Prevention (CDC), as data shows that for the 2025-2026 school year, vaccination rates decreased and non-medical exemptions increased.  

Appellate Court Sides with Texas Medical Association in No Suprises Act Lawsuit

August 20, 2026

On August 11, a federal appellate court sided with the Texas Medical Association (TMA) argument that the way the No Surprises Act’s qualifying payment amount (QPA) is calculated has historically favored payers in arbitration.