The No Surprises Act aims to increase price transparency and reduce the likelihood that clients receive a “surprise” medical bill by requiring that providers inform clients of an expected charge for a service before the service is provided.  
Starting January 1, 2023, behavioral health care providers have been required by law to give uninsured and self-pay clients a Good Faith Estimate of costs for services when scheduling care or when the client requests an estimate (whichever occurs 1st).
 
Prior to the implementation of the No Surprises Act, all psychotherapists already had/have an ethical obligation to provide advance notice of costs and fees for every patient.  The No Surprises Act builds off of that and asks the private practice practitioner to provide further formal disclosures of anticipated fees.