On Nov. 30, the Texas Medical Association (TMA) filed a third lawsuit against HHS (Texas Medical Association et al. v. US Department of Health and Human Services et al., Case #6:22-cv-00450-JDK). In its complaint, TMA targets the implementation of the federal law that protects consumers form surprise billing. In addition, the lawsuit challenges the methodology for calculating payments in the arbitration process for payer and providers under the No Surprises Act. TMA alleges the current methodology will “financially harm providers and ‘deflate’ payments they receive after rendering care to patients.”