H.R. 4710In committeeHealth care
Bill raises surprise-billing penalties to $10,000 per incident
Data as of July 11, 2026
HR 4710 raises penalties for surprise-billing violations and slow arbitration payments, and requires federal agencies to report enforcement data to Congress every 6 months.50-second read · 5 questions answered below
Decoded
What does this do?
This bill increases the fines that health plans and insurers pay when they break surprise-billing rules. It also sets new penalties for parties who are late or refuse to pay after an arbitrator decides a fair amount. Federal agencies would be required to report enforcement activity to Congress every six months.
Who does it affect?
The bill directly applies to group health insurance plans, health insurance companies, and out-of-network medical providers and facilities. Patients who receive emergency, non-emergency, or air ambulance care are indirectly affected.
Why does it matter?
Current penalties for serious violations may not be strong enough to stop improper billing practices. Without regular public reporting, it is harder to know whether existing patient protections are actually being enforced.
What does it cost, and who pays?
- Fines up to $10,000 per incident
- Unpaid arbitration awards triple + interest
Where does it stand?
- Introduced
- House committee — You are here
- House vote
- Senate
- President's desk
Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the President.
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Official title
No Surprises Act Enforcement Act
- Introduced:
- July 23, 2025
- Latest action:
- July 23, 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Read the official bill on Congress.govMake the call
Three steps: where you stand, your script, the call.