H.R. 4710 · 119th Congress

No Surprises Act Enforcement Act

Introduced on Jul 23, 2025 by Gregory F. Murphy (R-NC-3). 38 cosponsors, 17 of them from another party. Latest action (Jul 23, 2025): Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Stage
Introduced
Introduced
Jul 23, 2025
Cosponsors
38
17 from the other party
Policy area
Health
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Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. 2Reported by committee
  3. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes.

Summary

The Congressional Research Service has not summarized this measure yet.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Gregory F. MurphyR-NC-3Sponsor

Democrats · 17

Republicans · 21

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Jul 23, 2025Introduced in House
  2. Jul 23, 2025Introduced in House
  3. Jul 23, 2025 · HouseReferred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  4. Jul 23, 2025 · HouseReferred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  5. Jul 23, 2025 · HouseReferred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)4 reports
    $16.7M reported (all issues)
  2. AMERICAN COLLEGE OF EMERGENCY PHYSICIANS4 reports
    $1.9M reported (all issues)Federal contractor: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS$92K in contracts, FY2026AI match · 100%
  3. AMERICAN SOCIETY OF ANESTHESIOLOGISTS4 reports
    $1M reported (all issues)
  4. American Medical Association4 reports
    $23.2M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  5. BCBSM, Inc.4 reports
    $118K reported (all issues)
  6. BLUE CROSS AND BLUE SHIELD OF KANSAS, INC.4 reports
    $40K reported (all issues)
  7. BLUE CROSS BLUE SHIELD OF MICHIGAN4 reports
    $1.1M reported (all issues)
  8. Blue Cross and Blue Shield Association4 reports
    $5.1M reported (all issues)
  9. Blue Cross and Blue Shield of Florida, Inc.4 reports
    $380K reported (all issues)
  10. COLLEGE OF AMERICAN PATHOLOGISTS4 reports
    $765.2K reported (all issues)Federal contractor: COLLEGE OF AMERICAN PATHOLOGISTS$18M in contracts, FY2026AI match · 99%
  11. Emergency Care Partners, LLC4 reports
    $120K reported (all issues)
  12. National Association of Freestanding Emergency Centers (NAFEC)4 reports
    $240K reported (all issues)
  13. PHI, Inc.4 reports
    $200K reported (all issues)Federal contractor: PHIAI match · 98%
  14. US Physician Partners (Informal Coalition)4 reports
    $330K reported (all issues)
  15. AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY3 reports
    $865.5K reported (all issues)
  16. CAMBIA HEALTH SOLUTIONS INC.3 reports
    $2M reported (all issues)
  17. California Medical Association Inc.3 reports
    $201.9K reported (all issues)
  18. HALOMD3 reports
    $990K reported (all issues)
  19. HERMEUS CORPORATION3 reports
    $330K reported (all issues)Federal contractor: HERMEUS CORPAI match · 99%
  20. HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY3 reports
    $120K reported (all issues)
  21. MEDICAL GROUP MANAGEMENT ASSN3 reports
    $900K reported (all issues)
  22. No Surprise Bill, LLC3 reports
    $90K reported (all issues)
  23. BLUECROSS BLUESHIELD OF TENNESSEE2 reports
    $360K reported (all issues)
  24. ELEVANCE HEALTH, INC.2 reports
    $4M reported (all issues)
  25. Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC)2 reports
    $2.6M reported (all issues)Federal contractor: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY$16M in contracts, FY2026AI match · 100%
  26. NSP Management Services of Long Island, Inc.2 reports
    $60K reported (all issues)
  27. THE CIGNA GROUP2 reports
    $120K reported (all issues)
  28. Turquoise Health Co.2 reports
    $80K reported (all issues)
  29. AFL-CIO1 report
    $760K reported (all issues)Federal contractor: AFL-CIO WORKING FOR AMERICA INSTITUTE, INC. (THE)AI match · 92%
  30. AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS1 report
    $35K reported (all issues)
  31. AMERICAN BENEFITS COUNCIL1 report
    $270K reported (all issues)
  32. Cambia Health Solutions (formerly known as The Regence Group)1 report
    $80K reported (all issues)
  33. Congress of Neurological Surgeons1 report
    $35K reported (all issues)
  34. Corporate Health Care Coalition1 report
    $30K reported (all issues)
  35. FEDERATION OF AMERICAN HOSPITALS1 report
    $710K reported (all issues)
  36. HIGHMARK INC.1 report
    $230K reported (all issues)
  37. INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS1 report
    $170K reported (all issues)
  38. LOCKHEED MARTIN CORPORATION1 report
    $4.2M reported (all issues)Federal contractor: LOCKHEED MARTIN CORPORATION$13.3B in contracts, FY2026AI match · 100%
  39. MASSACHUSETTS MEDICAL SOCIETY1 report
    $50K reported (all issues)
  40. NATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATION (NRECA)1 report
    $980K reported (all issues)

Reports filed in 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.