A federal court has vacated provisions of a final rule regarding the arbitration process under the No Surprises Act and remanded it back for further consideration.

On Monday, U.S. District Court Judge Jeremy Kernodle sided with the Texas Medical Association’s argument that the final rule unlawfully conflicts with the NSA in restricting arbitrators’ discretion and unlawfully tilting the arbitration process in favor of the Qualifying Payment Amount set by insurers.