Balancing Billing Protection Act and No Surprise Act


Effective 1/1/2020 Washington state implemented the Balance Billing Protection Act (BBPA) to offer protection from surprise medical bills. Effective 1/1/2022, the Federal No Surprises Act ("FNSA"), applies a broader scope of plans and services than Washington's BBPA. Combined they offer transparency and disclosure for individuals seeking medical services.

Click here to learn more about your right to receive a Good Faith Estimate. Under the law, health care providers must give patients who don’t have insurance or who are not using insurance an estimate of the bill for the health care items and services they are about to receive. A Good Faith Estimate provides transparency for the total expected cost when scheduling or upon request.

Balance Billing (also referred to as surprise billing) occurs when an out-of-network provider bills the patient for the difference between the provider's charge and the insurance company's allowed amount.