Texas Medical Association continuing opposition to No Surprises Act ruling for determining out-of-network pricing January 26, 2022 Auto Bot Legal, News, No Surprises Act, Payers, Physicians, surprise billing 0 The Texas Medical Association (TMA) filed a brief on Monday to further oppose the ruling on the No Suprises Act that currently allows aribtrators to use the average in-network rate to determine out-of-network cost.