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The No Surprises Act is a federal law in the United Statesthat went into effect on January 1, 2022. Enacted as part of the Consolidated Appropriations Act, the NSA is designed to protect patients from unexpected medical bills occurring inemergency situations or when they receive care from out-of-network providers at the facilities of in-network providers. This type of billing is commonly referred to as “surprise billing.” The Act prohibits out-of-network providersfrom directly billing patients for certain services and instead requires them to seek payment from the patient’s health plan. If a patient is uninsured or opts for self-pay for a service, the NSA’s protections often provide the opportunity to get a good faith estimate of the cost of care up front.