April 27, 2026

Re: MGMA’s Support for the Medicare Advantage Improvement Act
 

Dear Secretaries Bessent and Kennedy and Acting Secretary Sonderling:

The undersigned physician organizations representing national medical specialty societies and state medical associations write to express our growing concern that some health plans are undermining the careful balance achieved in the No Surprises Act (NSA). The NSA was designed to protect patients from surprise medical bills, as well as to promote fair contracting incentives between payers and physicians through a meaningful independent dispute resolution (IDR) process. Unfortunately, health plans are finding ways to circumvent the statute with harmful policies that shift costs onto patients and undercut independent physician practices, jeopardizing access to care in their communities. We strongly urge the Departments to increase enforcement efforts and require greater transparency in the IDR process. Below, we offer several examples of problematic conduct and recommend actions needed to protect patients and physicians.

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