When President Donald Trump signed the No Surprises Act, he delivered a real victory for American patients. For the first time, families couldn’t be ambushed by crippling out-of-network bills after an emergency they never chose. It was the commonsense, pro-patient reform Washington had promised for decades and never delivered. Trump got it done.

But a law is only as good as its implementation. The Biden administration failed to implement it properly, leaving loopholes that benefit their friends and donors in the hospital industry. Bureaucrats and well-funded special interests turned one of Trump’s signature healthcare achievements into a money machine at the expense of the families it was meant to protect.