No Surprises Act

ICR 202106-1210-001

OMB:

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2021-07-13
Supplementary Document
2021-07-13
ICR Details
202106-1210-001
Received in OIRA
DOL/EBSA
No Surprises Act
New collection (Request for a new OMB Control Number)   No
Regular 07/13/2021
  Requested Previously Approved
36 Months From Approved
10,368,277 0
463,981 0
279,496 0

The No Surprises Act: (1) directs the Department to establish a process to receive complaints regarding violations of the application of the qualifying payment amount by group health plans and health insurance issuers offering group coverage, and violations by health care provider, facilities, and providers of air ambulance services of the requirements under PHS Act sections 2799B-2 and 2799B-3. (2) require plans and issuers to provide certain information to nonparticipating providers or nonparticipating emergency facilities in cases in which the recognized amount with respect to an item or service furnished by a nonparticipating provider or nonparticipating emergency facility is the qualifying payment amount. (3) allow plans to voluntarily opt in to state law that provides for a method for determining the cost-sharing amount or total amount payable under such a plan, where a state has chosen to expand access to such plans, to satisfy their obligations under Code section 9816(a)-(d), ERISA section 716(a)-(d) and PHS Act section 2799A-1(a)-(d). (4) require plans and issuers to make publicly available, post on a public website of the plan or issuer, and include on each explanation of benefits for an item or service with respect to which the requirements under section 9816 of the Code, section 716 of ERISA, and section 2799A-1 of the PHS Act apply, information in plain language on the provisions in these sections, and sections 2799B-1 and 2799B-2 of the PHS Act, and other applicable state laws on out-of-network balance billing, and information on contacting appropriate state and federal agencies in the case that an individual believes that such a provider or facility has violated the prohibition against balance billing.

PL: Pub.L. 116 - 260 No Surprises Act Name of Law: Consolidated Appropriations Act, 2021
  
PL: Pub.L. 116 - 260 No Surprises Act Name of Law: Consolidated Appropriations Act, 2021

1210-AB99 Proposed rulemaking 86 FR 36872 07/13/2021

No

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,368,277 0 10,368,277 0 0 0
Annual Time Burden (Hours) 463,981 0 463,981 0 0 0
Annual Cost Burden (Dollars) 279,496 0 279,496 0 0 0
No
No
This is a new collection of information.

$533,333
No
    No
    No
No
No
No
No
James Butikofer 202 693-8434 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/13/2021


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