Yeah, the No Surprises Act was monumental and basically the pinnacle of the Biden administration imho. Before, like you said, an anesthesiologist would just walk in to your room and look at your chart, and you couldn't say anything at all or speak up in time, and BOOM- balance-billed. Nowadays, you'll still get balance-billed, but after spending a dozen hours on the phone or so it gets dropped. Still crappy unpaid work but at least you're not on the hook anymore