Enacted in December 2020, the No Surprises Act (NSA) reflected bipartisan recognition of the need to provide new federal protections against surprise medical bills and promote lower costs in the private insurance market. Among its key provisions, the NSA protects people with private insurance from receiving a surprise medical bill when they receive emergency services, certain non-emergency services from out-of-network providers, and services from out-of-network air ambulance service providers. The law also keeps patients out of the middle of an independent dispute resolution process to resolve payment disputes between insurers and health care providers.