No Surprise Billing Act

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Link to the Federal Model Notice:  
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This is the link to state specific information on the CMS website is:  https://www.cms.gov/marketplace/about/oversight/other-insurance-protections/consolidated-appropriations-act-2021-caa

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The below letters capture CMS’s understanding of the PHS Act provisions, as extended or added by the CAA, that each state is enforcing either directly or through a collaborative enforcement agreement, and the provisions that CMS is enforcing. These letters also communicate whether the federal independent dispute resolution process and the federal patient-provider dispute resolution process apply in each state, and in what circumstances.

Alabama (As of December 8, 2021) (PDF)

Alaska (As of February 15, 2022) (PDF) 

American Samoa (As of December 8, 2021) (PDF)

Arizona (As of February 23, 2022) (PDF)

Arkansas (As of December 21, 2021) (PDF)

California (As of December 22, 2021) (PDF)

Colorado (As of January 18, 2022) (PDF)

Connecticut (As of December 8, 2021) (PDF)

Delaware (As of January 31, 2022) (PDF)

District of Columbia (As of December 8, 2021) (PDF)

Florida (As of January 28, 2022) (PDF)

Georgia (As of December 13, 2021)  (PDF)

Guam (As of December 23, 2021) (PDF)

Hawaii (As of May 20, 2022) (PDF)

Idaho (As of December 9, 2021) (PDF)

Illinois (As of April 27, 2022) (PDF)

Indiana (As of December 15, 2021) (PDF)

Iowa (As of December 9, 2021) (PDF)

Kansas (As of December 13, 2021) (PDF)

Kentucky (As of December 21, 2021) (PDF)

Louisiana (As of December 20, 2021) (PDF)

Maine (As of December 22, 2021) (PDF)

Maryland (As of May 18, 2022) (PDF)

Massachusetts (As of December 22, 2021) (PDF)

Michigan (As of July 20, 2023) (PDF)

Minnesota (As of December 23, 2021) (PDF)

Mississippi (As of December 27, 2021) (PDF)

Missouri (As of December 23, 2021) (PDF)

Montana (As of December 27, 2021) (PDF)

Nebraska (As of December 27, 2021) (PDF)

Nevada (As of February 24, 2022) (PDF)

New Hampshire (As of December 22, 2021) (PDF)

New Jersey (As of February 4, 2022) (PDF)

New Mexico (As of December 22, 2021) (PDF)

North Carolina (As of December 27, 2021) (PDF)

North Dakota (As of December 15, 2021) (PDF)

Northern Mariana Islands (As of December 28, 2021) (PDF)

Ohio (As of February 17, 2022) (PDF)

Oklahoma (As of December 9, 2021) (PDF)

Oregon (As of December 21, 2021) (PDF)

Pennsylvania (As of February 7, 2022) (PDF)

Puerto Rico (As of December 8, 2021)  (PDF)

Rhode Island (As of December 22, 2021) (PDF)

South Carolina (As of December 28, 2021) (PDF)

South Dakota (As of December 15, 2021) (PDF) 

Tennessee (As of January 26, 2024) (PDF)

Texas (As of January 25, 2022) (PDF)

U.S. Virgin Islands (As of December 9, 2021) (PDF) 

Utah (As of December 20, 2021) (PDF)

Vermont (As of December 22, 2021) (PDF)

Virginia (As of December 21, 2021) (PDF)

Washington (As of December 21, 2021) (PDF)

West Virginia (As of December 13, 2021) (PDF) 

Wisconsin (As of December 10, 2021) (PDF) 

Wyoming (As of December 9, 2021) (PDF)