◆ HHS, the U.S. Department of Treasury and the U.S. Department of Labor—which are responsible for the No Surprises Act—on Sept. 26 proposed a regulation to amend a previous regulation on administrative fees charged for participation in the independent dispute resolution (IDR) process.^[1] The proposed fee would increase from $50 to $150 per party per dispute. Also, the departments “propose that for disputes initiated on or after the later of the effective date of these rules or January 1, 2024, certified IDR entities would be permitted to charge a fixed certified IDR entity fee for single determinations within the range of $200 to $840. This fee range represents a 20 percent increase to the upper limit from the 2023 single determination fee range.”