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.
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.