Consolidated Appropriations Act of 2021

December 22, 2020

The Consolidated Appropriations Act of 2021 (5,593 pages), was released the afternoon of December 21, specifically the provisions relating to “Surprise Medical Billing” (SMB) and the key healthcare provisions of the pending law, at this time.  The bill was passed by the House and Senate yesterday (12/21/20) and is expected to be signed by the President.   

Key Takeaways:

  • Specific details on the specialty impacts, on changes to the 2021 Medicare Physician Fee Schedule (PFS) are not presently known, as the entirety of the PFS will have to be recalibrated with new values based on this bill.
  • More information on the PFS will be forthcoming as we determine the details—more is known on the specifics of SMB, which will take effect on 1/1/22.
  • The No Surprises Act (NSA) “2.0,” (version 2.0, released on 12/20/20 versus the “1.0” version issued on 12/11/20) was revised positively in several aspects as highlighted in the summary.

To view this summary quick guide, please click below.

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