March 25, 2026

Dear Secretaries, Bessent, Chavez-DeRemer, and Kennedy,

On behalf of the undersigned organizations, we are writing to you because of the critical role your agencies play in the successful implementation of the No Surprises Act (NSA), the landmark leg-islation that protects patients from unaffordable out-of-network bills. We are appreciative of your commitment to defending the patients who receive care protected by the NSA.

Together the specialty societies and trade organizations below represent over 100,000 physicians and clinicians working on the frontlines of our healthcare system to deliver NSA-protected care, and over 100 supporting organizations to those physicians. On behalf of our memberships, we advocated for the strong patient protections that became law, and have since continued to be extremely supportive of maintaining the NSA patient protections. We believe that with commonsense reforms and investment in enforcement, the NSA can continue to be the landmark healthcare affordability law that it was intended to be.

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