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HHS/CMS RIN: 0938-AU62 Publication ID: Fall 2021 
Title: Requirements Related to Surprise Billing; Part II (CMS-9908) 

This interim final rule with comment would implement additional protections against surprise medical bills under the No Surprises Act, including provisions related to the independent dispute resolution processes.

Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 45 CFR 147    45 CFR 149   
Legal Authority: Pub. L. 116-260, Division BB, title I and title II   
Legal Deadline:
Action Source Description Date
Final  Statutory  Statute requires rulemaking 1-year after enactment, that is by 12/27/21.  12/27/2021 
Action Date FR Cite
Interim Final Rule  10/07/2021  86 FR 55980   
Interim Final Rule Effective  10/07/2021 
Interim Final Rule Comment Period End  12/06/2021 
Reviewing Comments  To Be Determined 
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: Federal, State 
Small Entities Affected: Businesses, Governmental Jurisdictions, Organizations  Federalism: Undetermined 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Related Agencies: Joint: TREAS/IRS, DOL/EBSA, OPM; 
Agency Contact:
Deborah Bryant
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Consumer Information and Insurance Oversight, MS: W08-134, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:301 493-4293