S2420-119

Introduced

To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes.

119th Congress Introduced Jul 23, 2025

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

This bill, To amend title XXVII of the Public Health Service Act, the Employee
Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to
increase penalties for group health plans, health insurance issuers, and
nonparticipating providers or facilities for practices that violate balance billing
requirements, and for other purposes., changes federal law or congressional policy affecting workers, employers, and labor regulators. The main policy domain is Labor, Government Operations, Healthcare.

Who Benefits and How

workers, employers, and labor regulators may benefit from new authority, funding, eligibility, regulatory clarity, or reduced risk created by the bill.

Who Bears the Burden and How

federal implementing agencies, workers, employers, and labor regulators may take on implementation duties, reporting obligations, compliance costs, or oversight responsibilities.

Key Provisions

  • Section id7a06e1cc398c4a78bb8108bcf2b880b1: 1. Short title This Act may be cited as the No Surprises Act Enforcement Act.
  • Section H4A630710E4F04E2D80DB12DAE2D1384D: 2. Increasing penalties for group health plans and health insurance issuers for practices that violate balance billing requirements Section 2723(b)(2)(C) of...
  • Section HE0F92FB098E3444895118FDB6891AC0D: 3. Additional penalties for late payment or non-payment after IDR entity payment determination Section 2799A–1(c)(6) of the Public Health Service Act (42...
  • Section H4A17DD62F59B4A0FA2C8A7AC74D5F769: 4. Transparency reporting requirements Section 2799A–1(a)(2)(A)(iii) of the Public Health Service Act (42 U.S.C. 300gg–111(a)(2)(A)(iii)) is amended to read as...

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

This bill, To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes., changes federal law or congressional policy affecting workers, employers, and labor regulators.

Key Policy Areas

Labor, Government Operations, Healthcare

Primary Purpose

This bill, To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes., changes federal law or congressional policy affecting workers, employers, and labor regulators.

Policy Domains

Labor Government Operations Healthcare

Whole bill

Identified Gains
  • workers, employers, and labor regulators
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: is
workers, employers, and labor regulators: ,
Identified Costs
  • federal implementing agencies
  • workers, employers, and labor regulators
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: is
federal implementing agencies: ,
workers, employers, and labor regulators: ,

Legislative Progress

Introduced
Introduced Committee Passed
Jul 23, 2025

Mr. Marshall (for himself and Mr. Bennet) introduced the following …

Impact analysis is available but no clear stakeholder effects identified. View clause-level analysis →

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Labor Government Operations Healthcare
Actor Mappings
"secretary_of_labor"
→ Secretary of Labor
"secretary_of_treasury"
→ Secretary of the Treasury
"secretary_of_health_and_human_services"
→ Secretary of Health and Human Services

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology