Last week, the Trump Administration issued the final No Surprises Act (NSA) Independent Dispute Resolution (IDR) Operations rule, which stakeholders have been waiting for since the rule was proposed in 2023 by the Biden Administration. The 2026 final rule significantly reduces the administrative per-party, per-dispute fee, imposes new communication processes and standards, revises rules around batched disputes. See our Five Things to Know about the Final IDR Operations Rule, here.
