The National Association of Benefits and Insurance Professionals filed its complaint last week, challenging a moratorium that would bar first-time brokers from doing business on Affordable Care Act exchanges. While the lobby said it agrees fraud was occurring, it is asking a court to compel regulators to take a more targeted approach at a solution.

The “Lower Premiums, Faster Payments Act” from Rep. Frank Pallone (D-NJ) would eliminate the independent dispute process completely. Its proposal comes after recent indication that the No Surprises Act lacks teeth.

The Centers for Medicare & Medicaid Services said the cancelled payments are linked to people enrolled twice in the system, as well as those found to be deceased. Determinations are subject to a 30-day appeal of any errors made during the purge. 

Released Friday, the proposed rule is designed to comply with an act of Congress passed in February. Changes include regular audit requirements for Medicare Advantage coverage networks and enhanced reporting for pharmacy benefit managers.

The states say they do not have enough time to enforce the rule, as CMS only issued an interim final rule this summer. The deadline for full compliance is Jan. 1.

The agency is warning hospitals that failing to publicly post the prices they charge for services will not only elicit the ire of HHS.

The money will be sent to eligible Medicare Part B members to offset a month of premiums. Payments will be taken from the Medicare Improvement Fund, used to enhance the program.