1. Short title This Act may be cited as the No Surprises Act . 2. Preventing surprise medical bills (a) Coverage of emergency services Section 2719A(b) of the Public Health Service Act (42 U.S.C. 300gg–19a(b)) is amended— (1) in paragraph (1)— (A) in the matter preceding subparagraph (A)— (i) by striking a group health plan, or a health insurance issuer offering group or individual health insurance issuer, and inserting a health plan (as defined in subsection (e)(2)(A)) ; (ii) by inserting or, for plan year 2021 or a subsequent plan year, with respect to emergency services in an independent freestanding emergency department (as defined in paragraph (3)(D)) after emergency department of a hospital ; (iii) by striking the plan or issuer and inserting the plan ; and (iv) by striking paragraph (2)(B) and inserting paragraph (3)(C) ; (B) in subparagraph (B), by inserting or a participating emergency facility, as applicable, after participating provider ; and (C) in subparagraph (C)— (i) in the matter preceding clause (i), by inserting by a nonparticipating provider or a nonparticipating emergency facility after enrollee ; (ii) by striking clause (i); (iii) by striking (ii) (I) such services and inserting (i) such services ; (iv) by striking where the provider of services does not have a contractual relationship with the plan for the providing of services ; (v) by striking emergency department services received from providers who do have such a contractual relationship with the plan; and and inserting emergency services received from participating providers and participating emergency facilities with respect to such plan; ; (vi) by striking ( II ) if such services and all that follows through were provided in-network and inserting the following: (ii) the cost-sharing requirement (expressed as a copayment amount or coinsurance rate) is not greater than the requirement that would apply if such services were provided by a participating provider or a participating emergency facility;