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B-333648 Oct 21, 2021 1 (2021-10-21)

handle is hein.gao/gaomip0001 and id is 1 raw text is: O1O o U.S. GOVERNMENT ACCOUNTABILITY OFFICE A Century of Non-Partisan Fact-Based Work 441 G St. N.W. Washington, DC 20548 B-333648 October 21, 2021 The Honorable Ron Wyden Chairman The Honorable Mike Crapo Ranking Member Committee on Finance United States Senate The Honorable Richard Neal Chairman The Honorable Kevin Brady Ranking Member Committee on Ways and Means House of Representatives Subject: Office of Personnel Management; Department of the Treasury, Internal Revenue Service; Department of Labor, Employee Benefits Security Administration; Department of Health and Human Services: Requirements Related to Surprise Billing; Part // Pursuant to section 801(a)(2)(A) of title 5, United States Code, this is our report on a major rule promulgated by the Office of Personnel Management (OPM); Department of the Treasury, Internal Revenue Service; Department of Labor, Employee Benefits Security Administration; and Department of Health and Human Services (HHS) (collectively, the agencies) entitled Requirements Related to Surprise Billing; Part II (RINs: 3206-AO29; 1545-BQ05; 1210-AC00; 0938-AU62). We received the rule on October 4, 2021. It was published in the Federal Register as interim final rules with request for comments on October 7, 2021. 86 Fed. Reg. 55980. The effective date is October 7, 2021. The agencies stated that the interim final rules implement provisions of the No Surprises Act, Pub. L. No. 116-260, div. BB, title 1, 134 Stat 1182, 2757 (Dec. 27, 2020), that provide for a federal independent dispute resolution process to permit group health plans and health insurance issuers offering group or individual health insurance coverage and nonparticipating providers, facilities, and providers of air ambulance services to determine the out-of-network rate for items and services that are emergency services, nonemergency services furnished by nonparticipating providers at participating facilities, and air ambulance services furnished by nonparticipating providers of air ambulance services, under certain circumstances. Also included, according to the agencies, are interim final rules issued by OPM to clarify how certain No Surprises Act, Pub. L. No. 116-260, 134 Stat. 2757, provisions apply to health benefits plans offered by carriers under the Federal Employees Health Benefits Act, Pub. L. No. 86-382, 73 Stat. 708 (Sept. 28, 1959). Lastly, also included, according to the agencies, are interim final rules issued by HHS that address good faith estimates of health care items and services for

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