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S 5535118th CongressFailed / ExpiredSenate

No Surprises Act Enforcement Act

Policy Area: Health
View on Congress.gov
Origin Chamber
Senate
Last Updated
Dec 5, 2025
Latest Action Date
Dec 16, 2024

Latest Action

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Official Summary

Official summary has not been imported yet.

GovScope Watchdog™

AI Government Intelligence™
Executive Summary

The No Surprises Act Enforcement Act (S.5535) is a Senate bill introduced in the 118th Congress aimed at enforcing provisions related to the No Surprises Act, which addresses unexpected medical billing practices. The bill was read twice and referred to the Committee on Health, Education, Labor, and Pensions but ultimately failed or expired without further legislative action. No official summary or full text is available, limiting detailed analysis of its specific enforcement mechanisms or provisions.

Bottom Line

S.5535 sought to enhance enforcement of the No Surprises Act but did not advance beyond committee referral and expired without passage.

Policy Risk Level
🟡 Medium
Neutral Risk Assessment
Key Points
  • The bill is focused on enforcement related to the No Surprises Act, which targets surprise medical billing.
  • Introduced in the Senate during the 118th Congress, it was referred to the Health, Education, Labor, and Pensions Committee.
  • No official summary or full text is publicly available, and the bill status is 'Failed / Expired' as of December 2025.
Who Benefits?

['Patients who receive unexpected medical bills', 'Healthcare providers and insurers subject to the No Surprises Act', 'Federal agencies responsible for health policy enforcement']

Potential Concerns

['Lack of publicly available full text and summary limits understanding of enforcement scope and mechanisms', 'Potential challenges in implementation and oversight due to absence of detailed provisions', 'Unclear funding or authority provisions may affect enforcement effectiveness']

Political Context

The bill was introduced in the Senate and referred to the Committee on Health, Education, Labor, and Pensions during the 118th Congress. It relates to the broader legislative effort to regulate surprise medical billing under the No Surprises Act. The bill did not progress beyond committee referral and expired, indicating limited legislative momentum or prioritization within this Congress.

Hidden Impact Review

Hidden impact flags detected: 2

GovScope reviewed 2 policy-risk categories. Hover for a quick definition. Click detected flags for bill-specific details.

2 Detected
Detected Flags
Indirect Effects

['Potential increased administrative burden on healthcare providers and insurers if enforcement mechanisms were strengthened.', 'Possible improvement in patient protection from surprise billing if enforcement was effective.', 'Federal agencies may require additional resources to implement enforcement provisions.']

GovScope Watchdog Notes

The absence of an official summary and full bill text significantly limits transparency and public oversight. The bill's failure to advance past committee referral suggests limited legislative support or prioritization. Future efforts to enforce the No Surprises Act would benefit from clearer public documentation and defined enforcement mechanisms to facilitate accountability.

Passage Likelihood: LowConfidence: 70%Model: gpt-4.1-mini

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