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BILL โ€ข US HOUSE

HR 4710

No Surprises Act Enforcement Act

119th Congress
Introduced by Gus Bilirakis, Suzan DelBene, Neal Dunn and 24 other co-sponsors

HR 4710 strengthens enforcement of the No Surprises Act, protecting patients from unexpected medical bills and requiring transparency from providers and insurers.

Introduced in House
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Bill Summary ยท HR 4710

Summary of HR 4710: No Surprises Act Enforcement Act

Purpose and Intent

The No Surprises Act Enforcement Act (HR 4710) aims to enhance the enforcement mechanisms of the existing No Surprises Act, which was designed to protect patients from unexpected medical bills resulting from out-of-network services. This legislation seeks to ensure compliance with the provisions of the No Surprises Act and to provide patients with greater protections against surprise billing practices.

Key Provisions

While the specific text of HR 4710 has not been detailed in the provided information, the following key provisions are anticipated based on the intent of the bill:

  • Strengthened Enforcement: The bill is expected to establish clearer enforcement protocols for healthcare providers and insurers to adhere to the No Surprises Act.
  • Patient Protections: It will likely enhance protections for patients against unexpected out-of-network charges, ensuring they are only billed for in-network rates in certain situations.
  • Transparency Requirements: The legislation may introduce additional transparency requirements for healthcare providers and insurers regarding billing practices and patient rights.

Affected Parties

The following groups are expected to be impacted by the No Surprises Act Enforcement Act:

  • Patients: Individuals receiving medical care will benefit from increased protections against surprise medical bills.
  • Healthcare Providers: Hospitals, physicians, and other healthcare entities will need to comply with the enhanced enforcement measures and transparency requirements.
  • Insurance Companies: Insurers will be required to adjust their billing practices and ensure compliance with the updated provisions of the No Surprises Act.

Legislative Process and Timeline

  • Introduced: HR 4710 was introduced in the House on July 23, 2025.
  • Committee Referral: The bill has been referred to the Committee on Energy and Commerce, as well as the Committees on Education and Workforce and Ways and Means for consideration. The timeline for further action will be determined by the Speaker of the House.

Related Legislation

HR 4710 has a companion bill in the Senate, S 2420, which may parallel its provisions and intent, indicating a broader legislative effort to address surprise billing across both chambers of Congress.


This summary provides an overview of HR 4710, highlighting its purpose, key provisions, affected parties, and legislative status. As the bill progresses through the legislative process, further details will emerge regarding its specific provisions and potential impacts.

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