Increase enforcement of the No Surprises Act and ban unexpected high-cost charges for emergency ground ambulance transportation.

Gilbert Ray Cisneros, Jr. · California · Democratic

policy impact 4.00 specificity 1.00 extraction confidence 98%

Commitment kind: unknown. Promised action: not established. Promised outcome: not established. Deadline: unknown; not assumed expired.

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Occurrences

Close the last major gap in protecting patients from surprise billings by increasing enforcement of the No Surprises Act (P.L. 116-260) and banning unexpected, high-cost charges for emergency ground ambulance transportation and guaranteeing patients and providers are shielded from financial shock in crisis situations.

The plan commits to stronger surprise billing enforcement and an ambulance billing ban.

Rep. Cisneros Unveils Health Care Action Plan | Representative Gil Cisneros
primary · press_release · model gpt-5.4-mini

Evidence

legacy_unverified · Source version not recorded · locator unknown

CMS says the No Surprises Act protects against unexpected out-of-network bills for emergency room visits, certain non-emergency facility care, and air ambulance services. Under Exceptions, CMS says: "Generally, ground ambulance services aren't covered by billing protections in the No Surprises Act" and they are still allowed to charge out-of-network rates. Page last modified: 08/25/2026 03:31 PM.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): The most recent official CMS consumer guidance found near the lookback window still identifies ground ambulance services as outside federal No Surprises Act billing protections, so the promised federal ban on unexpected high-cost emergency ground ambulance charges has not been delivered as of this refresh.

unresolved same_term

Know your Medical Bill of Rights | CMS
secondary · model gpt-5.5 · confidence 96%

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legacy_unverified · Source version not recorded · locator unknown

Congress.gov lists H.R.4710, the No Surprises Act Enforcement Act, as sponsored by Rep. Gregory F. Murphy and introduced 07/23/2025. Latest action: referred to House Energy and Commerce, Education and Workforce, and Ways and Means. The tracker says the bill has status Introduced, with later steps Passed House, Passed Senate, To President, and Became Law not completed.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): A House bill exists to increase No Surprises Act enforcement penalties, but the official congressional record shows it remained only introduced/referred rather than enacted. The available official cosponsor snapshot reviewed did not show Cisneros among the listed cosponsors, and the bill does not itself close the ground-ambulance billing gap.

unresolved same_term

H.R.4710 - No Surprises Act Enforcement Act | Congress.gov
secondary · model gpt-5.5 · confidence 88%

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Assessments

Public state: unverified As of unknown · legacy_unverified · . Original AI recommendation (not independently established): unresolved. same_term

The promised federal outcome has not been delivered as of the available 2026 evidence: CMS still says ground ambulance services generally are not covered by No Surprises Act billing protections, and H.R.4710 to increase enforcement remains only introduced/referred and does not close the ground-ambulance gap. The evidence also does not show Cisneros sponsoring, cosponsoring, or materially advancing enacted legislation on this issue. Because he is currently serving and the same federal term is still ongoing, the promise is best treated as unresolved rather than finally failed.

provider codex_cli · model gpt-5.5 · confidence 91%