TMA urges district court to protect patient access
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The Texas Medical Association (TMA) announced it has filed a new lawsuit in the U.S. District Court for the Eastern District of Texas, challenging certain portions of the Aug. 26 final rules implementing the federal No Surprises Act (NSA). This is the second time in less than a year TMA has filed a lawsuit against federal agencies related to rulemaking under the law. At issue are the rules affecting how payment disputes are resolved in certain situations in which the patient receives care from a physician or provider who is out of the insurance plan’s network. The payment disputes occur between health insurers and physicians or providers; patients are not affected or included. TMA is arguing that the challenged provisions of the final rule deprive physicians and providers of the arbitration process the law intended.