Texas District Court Vacates Rebuttable Presumption Under No Surprises Act Regulations | Practical Law
The U.S. District Court for the Eastern District of Texas has vacated portions of tri-agency regulations that implemented surprise medical billing requirements under the No Surprises Act (NSA) (part of the Consolidated Appropriations Act, 2021 (CAA-21)). Among the vacated provisions is a rule that created a rebuttable presumption that the amount closest to the qualifying payment amount (QPA) is the proper payment amount for an NSA-covered item or service in disputes involving the NSA's independent dispute resolution (IDR) procedures.