In the continuing saga between health care providers and the Department of Health and Human Services, the Department of Labor, and the Treasury, a federal court in Texas has once again vacated additional portions of the regulations that implement the surprise billing independent dispute resolution (IDR) process. As of now, the process is suspended. For more information and to track the status see here.

As a reminder the No Surprises Act (NSA) replaces the emergency provisions of the Affordable Care Act (ACA) and prohibits balanced billing in three instances (1) emergency services, (2) out-of-network services received in-network, and (3) emergent air ambulance services.

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