Put It on the Board
September 2026—A federal appeals court struck down portions of the federal regulations governing the calculation of the qualifying payment amount (QPA) under the No Surprises Act. The U.S. Court of Appeals for the Fifth Circuit, sitting en banc, issued its decision Aug. 11 in Texas Medical Association v. United States Department of Health and Human Services. The QPA is an insurer-calculated figure that is an important element in independent dispute resolution proceedings in which the amount an insurer owes to an out-of-network provider is adjudicated.