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In ordinary words.
Protected from some surprise bills, but not all of them.
In legal terms.
The No Surprises Act covers specified services and providers, not every bill or setting.
Where it stops being legal.
This practice is not categorically legal. Applicable federal, state and local laws, disclosures, procedural protections and the specific facts can make particular conduct unlawful.
General U.S.-focused information. Cases and statutes may have jurisdiction-specific exceptions. This citation may be a general primer; verify the governing primary authority. Not legal advice.