American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Surprise Billing

Surgeons, patients, and policymakers are concerned about the impact that unanticipated medical bills have on patients and the patient-physician relationship. The American College of Surgeons (ACS) believes a holistic approach consisting of coordinated efforts by health insurance plans, hospitals, physicians, and patients will be required to remedy this complex issue.

As Congress develops legislation to address this issue, solutions should address network adequacy, level the playing field between providers and insurers, increase transparency of insurance plans, keep patients out of the middle, and provide for an alternative dispute resolution in certain cases. The ACS remains strongly engaged with key Congressional committees as they continue to look for solutions on the issue of unanticipated medical billing.

Unanticipated Medical Billing Overview

Take Action: Contact Congress to ensure ACS-supported solutions to surprise billing are considered


ACS continues to press for a congressional solution to surprise medical bills (February 2020)

Dateline DC—Unanticipated Medical Billing Takes Center Stage (May 2019)


ACS Comments to Consumer Protections Against Surprise Medical Bills Act of 2020 (2/12/2020)

ACS Letter on Surprise Billing Legislation and December 2019 End of Year Negotiations (12/5/2019)

ACS Response to the Lower Health Care Costs Act (6/5/2019)

ACS Letter to House Energy and Commerce Committee Regarding No Surprises Act (5/28/2019)

ACS Opposes the “Stop Surprise Medical Bills” Legislation Introduced by Senator Cassidy and Bipartisan Senate Working Group (5/16/2019)

ACS Letter to Congress on Unanticipated Medical Billing (2/19/2019)

ACS Comments to Key Congressional Committees on Unanticipated Medical Billing (2/7/2019)

ACS Comments Regarding the Protecting Patients from Surprise Medical Bills Act (10/10/2018)


ACS Statement to House Energy and Commerce Health Subcommittee Hearing on No More Surprises: Protecting Patients from Surprise Medical Bills (6/12/2019)

ACS Statement to House Ways and Means Health Subcommittee Hearing on Protecting Patients from Surprise Medical Bills (5/21/2019)

Press Releases

American College of Surgeons commends Ways and Means exercise of jurisdiction over surprise billing (12/12/2019)

American College of Surgeons opposes Alexander, Pallone, Walden Surprise Billing Plan (12/9/2019)

American College of Surgeons opposes the Lower Health Care Costs Act (6/20/2019)

American College of Surgeons Applauds Ruiz/Roe Legislative Framework to Address Surprise Medical Bills (5/23/2019)