H.R. 3630: No Surprises Act

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H.R. 3630: No Surprises Act

116th Congress · introduced 2019-07-09 · Health · Latest: Forwarded by Subcommittee to Full Committee by Voice Vote .

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Official title

No Surprises Act

Plain summary

No Surprises Act This bill expands restrictions on charging health care plan holders out-of-network rates for certain services. First, the bill requires insurers offering plans that cover emergency services to bill plan holders no more than the median in-network rate for a particular emergency service, even if the service provider is out of network. The bill further prohibits insurers from billing plan holders more than the median in-network rate for nonemergency services provided by out-of-network providers at in-network facilities. Out-of-network providers may not bill plan holders for the difference between the in-network and out-of-network rates for emergency services. The bill further prohibits out-of-network providers from billing plan holders for the difference in rates for nonemergency services provided at an in-network facility unless the provider complies with specified notice and consent requirements. Even when complying with these requirements, an out-of-network provider may not charge plan holders for the difference in rates for such nonemergency services if the provider is based at the in-network facility and is the only provider available to deliver the particular treatment or service at the facility. The Department of Health and Human Services must provide grants to states to establish or maintain All Payer Claims Databases, which publish claims and payment information from insurers. The bill also requires insurers to publish provider directories and requires the Government Accountability Office and the Department of Labor to report on certain issues related to the commercial health care market.

Congressional Research Service summary (Introduced in House), quoted unchanged (nonpartisan). Read the source.

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The strongest published arguments

Alternatives

Needs sources: no published alternatives yet (for example a different bill, a law instead of an amendment, or keeping current law). We only show items backed by a published source. Suggest one.

How did my representative vote? · This bill's floor votes

Officials and money

Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] · 3 cosponsors

Cost estimate: No cost estimate published yet.

Cosponsors on this site

Ann Wagner (R-MO), Rashida Tlaib (D-MI)

Sponsor's campaign money: Rep. Pallone, Frank, Jr. [D-NJ-6] reported raising $2.8 million (2025–2026). Details. Shown for context only; it does not mean any donor supported this bill.

No linked floor roll calls in our collected records yet. This does not mean the bill has never had a vote. Check the official bill history.

Sources

• Congressional Research Service summary (Introduced in House)
• Congress.gov
• Data: GovInfo BILLSTATUS bulk data (Library of Congress), BILLSTATUS-116hr3630.xml <https://www.govinfo.gov/bulkdata/BILLSTATUS/116/hr>

Record fed-us-cong116-hr3630 · catalog fed-us-congress-bills-cong116 · updated 2026-11-15 by psicol fed-bills-cong116