he Texas Medical Association has filed its third lawsuit against the No Surprises Act, Healthcare Finance reports.
The complaint was made Wednesday by the TMA and Tyler Regional Hospital in Texas in the U.S. District Court for the Eastern District of Texas. It is against the Department of Health and Human Services, which released the rule; the Department of Labor; and the Department of the Treasury.
The lawsuit challenges certain portions of implementation of the July 2021 interim final rule. Specifically, the TMA and Tyler Regional Hospital allege that the rules “artificially deflate” the Qualifying Payment Amount, an insurer-calculated amount used in arbitration when deciding the appropriate out-of-network rate presented by physicians and insurers.
The system is rigged against doctors and in favor of the insurer, the TMA said by statement. The TMA and health system want a declaration that the federal departments acted unlawfully and vacate provisions of the July rule. Read more.
